Climb for a Cause 2008

SHERPA PRACTICE
REGISTRATION & AGREEMENT

I AGREE TO THE FOLLOWING

Climb for a cause (referred to herein as CFAC) shall not be responsible or legally liable for any losses of property or personal injury suffered in connection with any activities associated with a CFAC event. I hereby waive all claims against CFAC, its sponsors, and any personnel from any and all liability arising out of any injury to persons or property and any damage or expense arising out of my participation in or any activity associated with this Event.

Please accept this $1000 non-refundable payment to reserve my spot as a SHERPA PRACTICE for the 2008 team of Climb for a Cause. I understand that my participation includes an agreement to raise a minimum of $2,500 if this is my first Climb For A Cause, $2,000 if I am a CFAC Alumnus, and $1,500 if I am a student.

Once my application and payment are received, I will receive a call to schedule a consultation with CFAC Executive Director Daniel A. Bobrow to help me prepare for my Fund Raising Event.

If you would prefer to send a check, please make your check payable for the ENTIRE AMOUNT OF YOUR MINIMUM FUND RAISING COMMITMENT to Climb for a Cause, then print out and complete this form, and return it, along with your check to:

Climb For A Cause
1512 N. Fremont, Suite 102
Chicago, IL 60622

Thank you