Sempra Energy Kid’s Challenge 2017 Registration

Sempra Energy Kid’s Challenge 2017 Registration

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Waiver (required)

All participants in Pedal the Cause must agree to the Liability Waiver and Publicity Waiver. Please read the following terms and conditions carefully:

Liability Waiver and Publicity Waiver

In consideration of acceptance by Pedal the Cause, of participant's registration in the 2016 Pedal the Cause bicycling tour and/or its related events and activities (including training rides and other PTC administered
activities) (the "Event"), the undersigned (the "Participant") freely agrees to and makes the following
acknowledgements, representations, warranties, and covenants:

1. Registration Fee. The registration fee is not refundable and not transferable. The registration fee will not be applied toward the Minimum Amount [to be defined]. Participant's registration for Event is not complete until Participant's registration fee is paid by credit card as authorized below.

2. Right to Refuse Participant(s). Participant understands and agrees that PTC may refuse to allow or may terminate the participation of any participant if PTC believes that Participant presents a safety hazard to himself, herself, or to others.

I accept the Liability Waiver and Publicity Waiver.
(If participant is a minor, parent(s) or legal guardian(s) accepts the Liability Waiver and Publicity Waiver.)

Credit Card Information

Your card will be charged a nonrefundable/nontransferable registration fee of $125. This fee is not
included in your fundraising commitment and helps cover all rider expenses so that 100% of your fundraising efforts accelerate lifesaving cancer research in St. Louis.

If you have received a promotional code, please enter it below.

*Only one promo code per participant. Please check with your employer to see if they offer a
promotional code.

Please note that you are making a commitment to raise $xxx to help accelerate cancer research. Your card will only be charged $125 at this time, however if for any reason you are unable to meet your fundraising commitment by the deadline, your card will be charged for the unmet portion. All remaining balances will be charged on Wednesday, November 1, 2017.

Cardholder Information

Would you like to cover the 3.0% credit card processing fee for this transaction? If you select yes, your donation will increase to $xx.

Billing Address (Required)

Personal Donation

Kick start your fundraising with a personal donation!

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