Torch Run Waiver: I give permission for my child/children (listed below) to participate in the TORCH RUN - Champions Run for Life to be held Saturday, August 26, 2023 at the Shoreline Aquatic Park in Long Beach, California. I, for myself and my child/children, waive any and all claims for damages I or my child/children may have against MemorialCare, MemorialCare Long Beach Medical Center, MemorialCare Miller Children's & Women’s Hospital Long Beach, MemorialCare Medical Center Foundation, the Jonathan Jaques Children's Cancer Institute, the City of Long Beach, and any individual associated with the above for any and all injuries that I or my child/children might sustain in this event. I accept full responsibility for my child/children, and attest that my child/children, although he or she may be known to be under a physician's care, is physically fit to participate. My designate or I will be present with my child/children at the event. I will additionally permit the free use of my child/children's names and our pictures in broadcasts, telecasts, print, and in all Champions Run for Life Torch Run marketing and promotional campaigns.

CHILDREN'S T-SHIRTS:
Please choose the quantity of CHILDREN'S size shirts desired next to the size below. Each shirt is $10. This is in ADDITION to the T-shirt for the patient.

ADULT T-SHIRTS:
Please choose the number of ADULT size shirts desired next to the size below. T-Shirts are $12 each.