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About Us
Mission
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Staff
Board and Foundation
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Give Help
Overview
Donate
Volunteer
Food Security & Nutrition
Ways to Give
2024 Wellspring Annual Giving Report
Corporate Giving Program
Get Help
Client Services
Adult Learning
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Events & News
Community Events
Wishes For Wellspring
Golf Tournament
Winter Warrior Games
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Wellspring Winter Warrior Games Waiver
Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Release of Liability: * I, on behalf of myself, my heirs, executors, administrators, and assigns, hereby release, discharge, and hold harmless Wellspring Multi-service Centers, its officers, directors, employees, volunteers, and sponsors from any and all claims, demands, actions, or causes of action, whether in law or equity, arising out of or related to my participation in the Wellspring Winter Warrior Games. This includes, but is not limited to, any injuries, illnesses, or damages that may occur before, during, or after the event. Photography and Publicity: I grant permission to Wellspring Multi-service Centers to use any photographs, videos, or other media taken of me during the Wellspring Winter Warrior Games for promotional purposes, without compensation. Emergency Medical Treatment: In the event of an emergency, I authorize Wellspring Multi-service Centers and its representatives to seek and consent to emergency medical treatment on my behalf. By Checking this box I have read and understand the terms of this waiver and release of liability.
*
Thank you!