Table for Stand Tall AFC Thank you for representing Stand Tall AFC and being an advocate. Please complete the following forms for booth hosting & tabling at events. Name (First, Last)(Required) First Last Email(Required) Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone(Required)Consent(Required) I agree to the Code of Conduct Policy1. Exhibit respect for each flat woman’s right to be visible shirt on or shirt off at a walk. 2. Exhibit respect for every woman’s right to choose her surgical option (lumpectomy, AFC, Goldilocks, implants, tissue flaps, etc.). 3. No malicious behavior designed to create discord and lack of harmony is allowed.Liability Waiver(Required) I agree to the liability waiver below.1. This Event Liability Waiver (“Waiver”) applies to the Stand Tall AFC team member, Event Participant, at a cancer organization’s Event (“Event”) in which I am participating. Please read the following information before signing. 2. I, the Event Participant, hereby assume all of the risks of participating and/or volunteering in this Event, including by way of example and not limitation, any risks that may arise from negligence on the part of the persons or entities being released. I certify that I am physically fit to participate in this Event, and have not been advised to not participate by a qualified medical professional. 3. I acknowledge that this Waiver will be used by Stand Tall AFC and team organizers of the Event in which I may participate, and that it will govern my actions and responsibilities at said Event. In consideration of Stand Tall AFC and Event holders, sponsors, and organizers permitting me to participate in this Event, I hereby take action for myself and individuals legally representing my interests as follows: 3a. I WAIVE, RELEASE AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this Event, THE FOLLOWING PERSONS: Stand Tall AFC and Not Putting on a Shirt, Inc. and any of its directors, officers, employees, volunteers, representatives and agents and other participants. 3b. I INDEMNIFY, HOLD HARMLESS AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this Event, whether caused by the negligence of said parties or otherwise. 4. I understand that at this Event and Team related activities, I may be photographed. I acknowledge that this Event may occur in public and/or in private. I agree to allow my photo, video and/or film likeness to be used for any legitimate purpose by Stand Tall AFC Team, holders, producers, sponsors, organizers, or affiliated parties, including publications. 5. Signing of this waiver will automatically subscribe me to for newsletters from Stand Tall AFC.org and/or Not Putting on a Shirt.org. and SMS text messaging communications. I understand that I may opt out/unsubscribe at any time. 6. This Waiver shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I certify that I have read this Waiver, that I fully understand its content, and that I agree to its terms.CAPTCHA