Volunteer Registration

iVolunteer 4aCURE:

No Fee

Plan to arrive by 6am at Dockweiler Beach and stay until 11am.

Choose from one of the following options to continue registering:

I PARTICIPATED
IN YOUR LAST EVENT

I AM A NEW
PARTICIPANT

Volunteer First Name:*

Volunteer Last Name:*

Volunteer Email:*

Confirm Email:*

By registering as a participant and providing your email address, you are agreeing to receive important participant event updates via email.

User Name:*

A user name and password must be entered in order to be able to access and update your personal fundraising page.
Enter a unique user name for each volunteer of the event. No spaces allowed.
(i.e. first and last name: janedoe or first initial and last name jdoe)

Password:*

Minimum 6 characters. At least one letter and one number.
Only enter letters, numbers, periods, hyphens or exclamation marks.

Confirm Password:*

I would like to set a goal of:*

Select a fundraising goal below. Don't worry, setting a goal does Not obligate you to fundraise.

In addition to registering, I would like to make a donation in the amount of:

$.00

Where would you like to allocate your proceeds?:

UCLA
Children's Hospital Los Angeles
Cedars-Sinai
Duke Univeristy's Preston Robert Tisch Brain Tumor Center
Split among all hospitals

Are you a Brain Tumor Survivor? :

Yes, I am a Brain Tumor Survivor

Shirt Size?:*

Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X-Large
XX-Large

Gender:*

Male
Female

Date of Birth:*

(mm/dd/yyyy)

If you are affiliated with a school, please type the name of your school.:

Cell Phone Number :

I understand running/walking/participating in a road race is a potentially hazardous activity. I am medically able and properly trained for this race/walk. I assume all risks associated with running/walking or participating in the event including but not limited to: falls, contact with other participants, effects of weather including heat, wind, cold, rain and humidity, traffic and the conditions of the roads, and all such risks of racing/walking or participating being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of acceptances of my entry, I, for myself, my heirs, executor, or anyone entitled to act on my behalf, waive and release The Brad Kaminsky Foundation, The City and County of Los Angeles and Gavin McKiernan and any of their representatives and succession from all claims of every kind or nature whatever, foreseen or unforeseen, known or unknown. I grant my permission to all of the foregoing to use any photograph, motion picture, video, or sound recordings, or any other record of this event for any legitimate purpose.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

W:

Where would you like to allocate your proceeds?:

UCLA
Children's Hospital Los Angeles
Cedars-Sinai
Duke Univeristy's Preston Robert Tisch Brain Tumor Center
Split among all hospitals

Are you a Brain Tumor Survivor? :

Yes, I am a Brain Tumor Survivor

Shirt Size?:*

Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X-Large
XX-Large

Gender:*

Male
Female

Date of Birth:*

(mm/dd/yyyy)

If you are affiliated with a school, please type the name of your school.:

Cell Phone Number :

I understand running/walking/participating in a road race is a potentially hazardous activity. I am medically able and properly trained for this race/walk. I assume all risks associated with running/walking or participating in the event including but not limited to: falls, contact with other participants, effects of weather including heat, wind, cold, rain and humidity, traffic and the conditions of the roads, and all such risks of racing/walking or participating being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of acceptances of my entry, I, for myself, my heirs, executor, or anyone entitled to act on my behalf, waive and release The Brad Kaminsky Foundation, The City and County of Los Angeles and Gavin McKiernan and any of their representatives and succession from all claims of every kind or nature whatever, foreseen or unforeseen, known or unknown. I grant my permission to all of the foregoing to use any photograph, motion picture, video, or sound recordings, or any other record of this event for any legitimate purpose.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

W:

Where would you like to allocate your proceeds?:

UCLA
Children's Hospital Los Angeles
Cedars-Sinai
Duke Univeristy's Preston Robert Tisch Brain Tumor Center
Split among all hospitals

Are you a Brain Tumor Survivor? :

Yes, I am a Brain Tumor Survivor

Shirt Size?:*

Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X-Large
XX-Large

Date of Birth:*

(mm/dd/yyyy)

If you are affiliated with a school, please type the name of your school.:

Cell Phone Number :

I understand running/walking/participating in a road race is a potentially hazardous activity. I am medically able and properly trained for this race/walk. I assume all risks associated with running/walking or participating in the event including but not limited to: falls, contact with other participants, effects of weather including heat, wind, cold, rain and humidity, traffic and the conditions of the roads, and all such risks of racing/walking or participating being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of acceptances of my entry, I, for myself, my heirs, executor, or anyone entitled to act on my behalf, waive and release The Brad Kaminsky Foundation, The City and County of Los Angeles and Gavin McKiernan and any of their representatives and succession from all claims of every kind or nature whatever, foreseen or unforeseen, known or unknown. I grant my permission to all of the foregoing to use any photograph, motion picture, video, or sound recordings, or any other record of this event for any legitimate purpose.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

W:

Where would you like to allocate your proceeds?:

UCLA
Children's Hospital Los Angeles
Cedars-Sinai
Duke Univeristy's Preston Robert Tisch Brain Tumor Center
Split among all hospitals

Are you a Brain Tumor Survivor? :

Yes, I am a Brain Tumor Survivor

Shirt Size?:*

Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X-Large
XX-Large

Gender:*

Male
Female

Date of Birth:*

(mm/dd/yyyy)

If you are affiliated with a school, please type the name of your school.:

Are you volunteering with a Group? If so, please enter group/school name:

Cell Phone Number :

I understand running/walking/participating in a road race is a potentially hazardous activity. I am medically able and properly trained for this race/walk. I assume all risks associated with running/walking or participating in the event including but not limited to: falls, contact with other participants, effects of weather including heat, wind, cold, rain and humidity, traffic and the conditions of the roads, and all such risks of racing/walking or participating being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of acceptances of my entry, I, for myself, my heirs, executor, or anyone entitled to act on my behalf, waive and release The Brad Kaminsky Foundation, The City and County of Los Angeles and Gavin McKiernan and any of their representatives and succession from all claims of every kind or nature whatever, foreseen or unforeseen, known or unknown. I grant my permission to all of the foregoing to use any photograph, motion picture, video, or sound recordings, or any other record of this event for any legitimate purpose.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

W:

Are you a Brain Tumor Survivor? :

Yes, I am a Brain Tumor Survivor

Shirt Size?:*

Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X-Large
XX-Large

I understand running/walking/participating in a road race is a potentially hazardous activity. I am medically able and properly trained for this race/walk. I assume all risks associated with running/walking or participating in the event including but not limited to: falls, contact with other participants, effects of weather including heat, wind, cold, rain and humidity, traffic and the conditions of the roads, and all such risks of racing/walking or participating being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of acceptances of my entry, I, for myself, my heirs, executor, or anyone entitled to act on my behalf, waive and release The Brad Kaminsky Foundation, The City and County of Los Angeles and Gavin McKiernan and any of their representatives and succession from all claims of every kind or nature whatever, foreseen or unforeseen, known or unknown. I grant my permission to all of the foregoing to use any photograph, motion picture, video, or sound recordings, or any other record of this event for any legitimate purpose.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

W:

Are you a Brain Tumor Survivor? :

Yes, I am a Brain Tumor Survivor

Shirt Size?:*

Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X-Large
XX-Large

If you are affiliated with a school, please type the name of your school.:

Are you volunteering with a Group? If so, please enter group/school name:

Cell Phone Number :

I understand running/walking/participating in a road race is a potentially hazardous activity. I am medically able and properly trained for this race/walk. I assume all risks associated with running/walking or participating in the event including but not limited to: falls, contact with other participants, effects of weather including heat, wind, cold, rain and humidity, traffic and the conditions of the roads, and all such risks of racing/walking or participating being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of acceptances of my entry, I, for myself, my heirs, executor, or anyone entitled to act on my behalf, waive and release The Brad Kaminsky Foundation, The City and County of Los Angeles and Gavin McKiernan and any of their representatives and succession from all claims of every kind or nature whatever, foreseen or unforeseen, known or unknown. I grant my permission to all of the foregoing to use any photograph, motion picture, video, or sound recordings, or any other record of this event for any legitimate purpose.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

W:

Shirt Size?:*

Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X-Large
XX-Large

If you are affiliated with a school, please type the name of your school.:

Are you volunteering with a Group? If so, please enter group/school name:

Cell Phone Number :

I understand running/walking/participating in a road race is a potentially hazardous activity. I am medically able and properly trained for this race/walk. I assume all risks associated with running/walking or participating in the event including but not limited to: falls, contact with other participants, effects of weather including heat, wind, cold, rain and humidity, traffic and the conditions of the roads, and all such risks of racing/walking or participating being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of acceptances of my entry, I, for myself, my heirs, executor, or anyone entitled to act on my behalf, waive and release The Brad Kaminsky Foundation, The City and County of Los Angeles and Gavin McKiernan and any of their representatives and succession from all claims of every kind or nature whatever, foreseen or unforeseen, known or unknown. I grant my permission to all of the foregoing to use any photograph, motion picture, video, or sound recordings, or any other record of this event for any legitimate purpose.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

W: