2017 TD Beach to Beacon

Good Shepherd Food Bank



2017 TD Beach to Beacon 10K

Good Shepherd Food Bank would like to congratulate Let’s Go!, A childhood obesity prevention program of The Barbara Bush Children’s Hospital, as the 2017 race beneficiary.

The Good Shepherd Food Bank Charity Bib costs $250. At time of registration we are asking for you to pay $50 and then raise an additional $200 through Good Shepherd Food Bank’s Virtual Food Drive.

$ 200 – provides 800 meals
$ 500 – provides 2000 meals
$ 1000 – provides 4000 meals

b2b



Please provide the following information so we can register you into the Beach to Beacon data base.
  • By clicking this box I agree to reach the $250 minimum for Good Shepherd Food Bank to receive a Beach to Beacon race bib. I authorize Good Shepherd Food Bank to bill me no later than September 1, 2017 for any remaining amount needed to reach the minimum.
  • I acknowledge that I am 18 years of age or older and I have read and agree to the release and waiver of liability (click here to read in a new window) or, I am the parent or legal guardian of the minor who is registering to participate in the TD Beach to Beacon 10K road race. I have the legal capacity and authority to act for and on behalf of the minor, I have read the terms of the release and waiver of liability, I consent to the minor participating in the TD Beach to Beacon 10K road race and I accept, for and on behalf of the minor, all of the terms of the foregoing release and waiver of liability. In the event medical evaluation or treatment is deemed necessary for the minor, although I request that reasonable efforts be made to contact me before any evaluation or treatment, I grant permission for any licensed physician, nurse or other medical provider to provide such evaluation and treatment as deemed appropriate and necessary, including x-rays, anesthesia and surgery. I am aware that the practice of medicine is not an exact science and that no guarantees can be made concerning the results of any evaluation or treatment. I agree to be responsible for the expense of any such medical treatment provided to the minor. If the minor is under 13 years of age, pursuant to the Children’s Online Privacy Protection Act of 1998, I consent to the collection and use and disclosure of the child’s personal information by Forte and TP Ecom for purposes of the child’s participation in the TD Beach to Beacon 10K road race.
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