CCF Fashion Show Alumni Registration

Save & Return

Save your progress and complete this form later. (optional)

Alumnus Name

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Sex *

Current Address

Is current address different from permanent address? *

Applicant Cancer Information

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Permanent Address (if different current address)

Parent/Legal Guardian Information

Is there one or more legal guardians? *

Parent/Legal Guardian

Relationship to Alumnus *
 

Second Legal Guardian

Is there a second Parent/Legal Guardian *

Second Parent/Legal Guardian Information

Relationship to Applicant *
 

Biography (to be filled out by alumnus)

The information collected on this form is used to create a biography about your child that will be printed in CCF’s promotional materials. Please answer all questions and provide details when appropriate.

Backstage Buddy

Does Alumnus require a Backstage Buddy? *

T-Shirt Size

please select one T-shirt size *
 Youth SmallYouth MediumYouth LargeYouth Extra LargeAdult SmallAdult MediumAdult LargeAdult Extra Large
you must have at least one item

Photo

Please e-mail a photo of your child to info@childrenscancerfund.com.

Consent and Release

I consent for (my child) to participate in the Children’s Cancer Fund Gala on Friday, April 26th, 2019, and all other events relating to the Gala. I also consent to the use of his/her/my photograph and video image in any manner desired by CCF. I understand that this consent may result in my (child’s) picture or video being used in television, newspapers, magazines, websites, and other locations prior to, during, and after the event.

I also release CCF and its officers, directors, employees, and volunteers from any injury or damage that may arise from my (child’s) participation in the event. I agree that I (my child) will be present at the 2019 Gala and participate.

I understand that I (my child) must be present at the Gala (or send my child with an adult who is responsible for my child). I hereby present to CCF that when I (my child) participate(s) in any CCF event, I/he/she will have all needed approvals from my/his/her doctors.
Signature of Alumni *
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Signature of Parent (if alumni is below the age of 18)
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