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Komen Maryland Volunteer Registration Waiver

I wish to volunteer for the Komen Maryland Affiliate of Susan G. Komen for the Cure. I understand volunteer activities performed for Komen or at a Komen event may involve physical activity, contact with unidentified and/or unfamiliar persons, or other potential risk of personal injury or accident. Knowing this and in consideration of being allowed to volunteer, I hereby assume full and complete responsibility for any injury or accident which may occur while I am serving as a Komen volunteer. In addition, I hereby release, indemnify and hold harmless the Komen Maryland Affiliate, the Susan G. Komen for the Cure and any of their partners, agents, sponsors, board members and successors from any and all liability claims, judgements or responsibility for any such accident or injury.

(Must indicate name of responsible adult on next page if you are under 18 years of age.)

Yes, I agree (Continue to Volunteer Registration) 

No, I do not agree