Amateur Radio Sign-up

I understand and have agreed to participate in the 2009 Carolinas Biketober Challenge as a volunteer and have read and understand my responsibilities to be performed. Based on the Society's "code of conduct", I also understand that as a representative of the National MS Society, I must always conduct myself in a fashion that does not jeopardize the image of the Society.

I hereby consent to and permit emergency treatment in the event of injury or illness while participating in the event. I also hereby give permission to the National Multiple Sclerosis Society and the Mid-Atlantic chapter to use my name and any photograph, likeness or image taken of me during the event in any promotional materials, publication or via the website.

It is my further understanding that NMSS reserves the right to refuse or dismiss anyone that may cause any disturbance or hindrance in any manner that could jeopardize the safety of oneself or others.

It will be my sole responsibility to obtain the necessary mode of transportation to perform these responsibilities. If for whatever reason I am unable to perform as agreed, I will advise the Mid-Atlantic chapter event coordinator immediately.

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Amateur Radio Sign Up