Rock Your Heart Annual Dinner & Basket Raffle

Step 1 — Select Tickets

Waiver & Photo Release

In consideration of this entry being accepted, I hereby for myself, heirs, executors, and administrators waive & release any claim I may have against CHD Coalition, their staff, officers, volunteers, successors & assigns for injuries that may be suffered by me at this event whether it results from the negligence of any of the above or from any other cause.  Lastly, by clicking and accepting this waiver I acknowledge that the CHD Coalition may take my photo, or those whom I am registering and use it for their website, newsletter, promotional materials and on social media.  We will in no way shape or form ever sell any photo's that are taken for use in other ways.

I have read, understand and agree to the terms of this agreement.  

  Quantity Price Each Ticket Type
$85.00 General Ticket
Additional Questions
Please see the waiver statement above and click the box below*


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