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Volunteer with CIM Medical Team

| CIM Medical Team

December 4th, 2016
Choose your shifts below
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Registration Information


Required fields are marked with an asterisk (*)
First Name *
Last Name *
For UCD: Which Department do you work for? For all others, indicate group affiliation: CERT or SMRC. *
What is your title, if student or resident, which year are you in? *
What is your specialty? *
Cell Phone on Race Day *
Office Number: *
If you have volunteered for CIM before, which location were you assigned to?
Indicate the location you would prefer to be assigned to volunteer in 2016 . If you do not have a preference, leave blank.
Please list all your expertise and experience you think would be helpful in assisting us with placing you in a volunteer location:
What size shirt do you need? (they are unisex) *
Please list an emergency contact person and their cell phone number: *
Call Sign for Radio Operators

Disclaimer

CALIFORNIA INTERNATIONAL MARATHON - OFFICIAL VOLUNTEER RELEASE/AGREEMENT:
As consideration for being permitted by the Sacramento Running Association (SRA), and the organizations, cities and counties in which the race is contested, (herein collectively referred to as "Promoters and Sponsors") to volunteer at the CALIFORNIA INTERNATIONAL MARATHON/RELAY CHALLENGE(CIM) , I hereby agree that I, my assignees, heirs, distributees, guardians and legal representatives will not make a claim against, sue or attach the property of the Promoters and Sponsors, for any and all injuries or damage arising from my participation as a volunteer at CIM. I also give free use of my name and/or picture in any broadcast, telecast, or other account of this event. I further acknowledge that if I am signing this Volunteer Relase/Agreement on behalf of a minor person ("Minor") I have such legal capacity and authority to act on behalf of the Minor and bind the Minor to this Official Volunteer Release/Agreement.

I am aware that this is a release of liability and a contract between myself and the Promoters and Sponsors and sign it of my own free will.
Waiver: *

Enter your name here to serve as a digital signature: