2024 Össur + CAF Running and Mobility Clinic - New Jersey

Date: Saturday, October 5, 2024

Time: 8am - 12pm

Location: Skelly Field at Rutgers University, 50 Biel Road, New Brunswick, NJ 08901

Volunteer Information

First Name

Last Name

Date of Birth

Gender

Ethnicity

Address

City

State/Province

ZIP/Postal Code

Country

Mobile Phone

Emergency Contact

Emergency Contact Phone

Do you currently volunteer with an adaptive sports program?

Please list one(s) and describe your experience

Volunteer Selection

Do you have any experience with gait training?

T-Shirt Size (Unisex)

BY COMPLETING THIS FORM, YOU OPT IN TO SHARING YOUR INFORMATION WITH OUR TITLE SPONSOR, ÖSSUR

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I hereby certify that I am eighteen (18) years or older, or the parent/legal guardian of participant, and that I have read this waiver and release and I hereby do consent to the terms and conditions of the CAF Release of Liability and the CAF Participant Code of Conduct and the Össur Clinic Liability Waiver.
(Type full name to electronically agree)

Parent Name (if participant is under 18)