. . . and help save a child's life!

Team Registration- Climb Up the Fifty

Register now and start fundraising, then hike, climb, walk, or ride as part of our June 26-July 5, 2010 climbathon. Yes, you can make a difference!

Team Name:
Activity:
First Name:
Last Name:
Address:
City:
U.S. State:
...or non-US Region:
Zip Code:
Country:
Phone:
Email:
T-shirt Size:
$10 extra
*while quantities last
 
Participating Date:
Other Date:
Fundraising Goal:
 
Do you want to set up a First Giving page to collect your donations?
(See HERE for more info)
 
Newspaper:
(Where you'd like a press release
sent telling people about your participation)

 
Where you will participate:
How did you hear about the climb?

 

Disclaimer

By submitting this form, I am indicating that, in consideration of my participation in Climb Up So Kids Can Grow Up events sponsored by American Foundation for Children with AIDS. I hereby, for myself, my heirs, executors and administrators, release, waive and discharge American Foundation for Children with AIDS, its bonafide members and any of the organizers, sponsors, and officials of Climb Up So Kids Can Grow Up events, and any of their respective representatives, agents, successors and assigns, for any and all injuries, damages, or death suffered by me in connection with my participation. I hereby assume full responsibility for all risk of injury, damage or death in connection with Climb Up So Kids Can Grow Up events. I hereby consent to any medical or surgical treatment which I may need and which arises in connection with Climb Up So Kids Can Grow Up events; provided, however, nothing contained herein shall be deemed an obligation to provide any such medical or surgical treatment.

For users under the age of 18, please be sure to obtain your parent’s or guardian’s permission before you send any information about yourself (eg. your name, address, e-mail address, etc.) to us or anyone else over the Internet. We encourage parents to get involved with their children’s on-line usage and to be aware of the activities in which they are participating.

 
(All fields required)

There is a $25 non-refundable registration fee.
(Upon registration you will be taken to a link to pay your fee online or by mail)

Cancellations must be received in writing by August 31, 2010 and are subject to $25 administrative fee. Registration fees are non-refundable. A $30 fee will be assessed for all NSF checks.
 

 

Our Sponsors

 

MARKETING
Use these web banners on your site or print posters to help others know about the call to Climb Up and raise awareness for the events to save the children with AIDS.
Download here >

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