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         THANK YOU FOR SUPPORTING OUR EFFORTS                          to permanently break the cycle                          of homelessness in our community!

Name *
Name
Address *
Address
One Step Closer to Home Waiver *
In consideration of acceptance of this entry, I the undersigned, intending to be legally bound, do hereby waive and release on behalf of myself, my heirs and assigns, any and all rights, claims, and actions against Inspirica, Inc., St. Luke’s School, any other event sponsors, or the cities or towns in which the event takes place, their officers, employees or agents for any and all injuries and damages which I may have arising out of, connected with or resulting from my participation in the One Step Closer to Home event. I attest that I am physically fit and fully prepared for this event. I understand that children under the age of 12 must be accompanied by a registered adult participants over the age of 18 throughout the entire duration of the event. Participants under the age of 18 must have this signed by a parent or guardian.
One Step Closer to Home Photo Release *
I hereby grant full permission to Inspirica, Inc., its successors and assigns, for the lawful use of any photographs, films and/or recordings that you take of me in connection with the event (with no additional compensation). I acknowledge that Inspirica, Inc. is the sole owner of all rights in and to said photographs, films and/or recordings and may use, publish, telecast and disseminate in all media, my name, portrait, picture and voice for all lawful purposes it deems advisable. Participants under the age of 18 must have this release signed by a parent or guardian.