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City of Hope’s National Home Furnishings Industry
                                   Fourth Annual Hike for Hope

                                                                      Thursday, October 15, 2009
                                                                         HIGH POINT MARKET
                                                                      TRANSPORTATION TERMINAL
                                                                         200 Block, East Commerce Avenue
                                                                                  High Point, N.C.

                                                                                         GRAND MARSHALL
                                                                                Claire Goldhagen
                                                                                    of Robb & Stucky

                                                 EVENT INFORMATION

                                     Hike Registration               4:30 to 5:30 p.m.
                                        Hike for Hope                5:30 p.m.
                                     After-Hike Party                6 p.m.
                    Featuring A to Z Blues Review and well known home furnishings industry executive bartenders.
                                            All proceeds from tips will go to City of Hope.


                                               SPONSORSHIP INFORMATION


  Hike for Hope Lead Sponsor                      Hike for Hope Co-sponsor                  Celebration of Life Sponsor
                $10,000                                       $5,000                                     $1,500
     Premier signage on all collateral            Signage on all collateral and banner           Signage at after-hike party
  Lead position at the front of the Hike         Included in all press communications       Included in all press communications
  Included in all press communications               Recognized at after Hike party
Recognition during all portions of the event



                                                  REGISTER NOW!
                   Call 800-272-2310 or email msandler@coh.org.
City of Hope’s National Home Furnishings Industry
                                                 Fourth Annual Hike for Hope Registration Form
                                                                         REGISTRATION OPPORTUNITIES

    Hike for Hope Lead Sponsor . . .$10,000                                                $ ____________           Individual Registration ($20)                $ ____________

    Hike for Hope Co-sponsor . . . . . .$5,000                                             $ ____________           Additional Donations                         $ ____________
                                                                                                                    I am unable to participate but would like
    Celebration of Life Sponsor . . . . .$1,500                                            $ ____________           to make a donation in the amount of          $ ____________

                                                 Total Sponsorship                         $ ____________                                        Grand Total $ ____________

                              Please be sure to sign the attached waiver and return it with your registration form!
                           For further information or to register, visit www.cityofhope.org/nhfi/hike or call 800-272-2310.
                                                                                         Proceeds to benefit City of Hope.

                                                                            REGISTRATION INFORMATION

Hike for Hope 2009 waiver                                                                               Name(s) ________________________________________________________
 WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AND
 INDEMNITY AGREEMENT                                                                                                ________________________________________________________
 In consideration of being permitted to participate in Hike for Hope (the “Event”) as a rider,
 volunteer or in any other capacity, I, for myself and for my heirs, next of kin, assigns and
 personal representatives:                                                                                          ________________________________________________________
 1. Represent that I am qualified, in good health and in proper physical condition to participate in
 the Event. If at any time during my participation in the Event I feel my physical condition no                 ______________________________________________________________________
 longer allows me to participate safely or I believe the Event becomes unsafe, I will immediately
 stop my participation.
 2. Acknowledge and understand fully that there are risks and dangers of serious bodily injury          Company ______________________________________________________
 and death that could result from my participation in the Event. The risks include, but are not
 limited to, weather, equipment, actions of other people including but not limited to event
 officials, other participants and volunteers, spectators, sponsors, event monitors, producers,         E-mail __________________________________________________________
 organizers, police and municipal workers and operators of motor vehicles in or around the area
 in which the Event will take place. Being aware of these risks and dangers, I have voluntarily
 elected to participate in the Event and I FULLY ACCEPT AND ASSUME ALL RISKS AND ALL                    Address ________________________________________________________
 RESPONSIBILITY FOR ANY INJURY, LOSSES AND DAMAGES TO PERSON OR PROPERTY
 THAT I INCUR AS A RESULT OF MY PARTICIPATION IN THE EVENT.
 3. I HEREBY AGREE NOT TO SUE AND TO RELEASE, DISCHARGE, WAIVE, HOLD HARMLESS
                                                                                                        City ________________________________ State ______ Zip ____________
 AND TO INDEMNIFY CITY OF HOPE AND ITS AFFILIATES and their respective officers,
 directors, employees, volunteers, sponsors, advertisers, participants, agents and representatives,
                                                                                                        Phone __________________________Fax ____________________________
 and all other sponsors, organizers, volunteers, officials, medical workers, producers, lessors
 and organizers and any involved municipalities or other public entities and each of the
 directors, officers, employees, agents, representatives, successors, heirs and assigns of any of
 the above individuals and entities (collectively and individually "Releasees") FROM AND
 AGAINST ALL LIABILITIES, CLAIMS, DEMANDS, LOSSES, DAMAGES, SUITS AND
 PROCEEDINGS, REGARDLESS OF THE CAUSE, INCLUDING THE NEGLIGENCE OR
                                                                                                        q Please bill me               q Payment enclosed
 CARELESSNESS OF ANY RELEASEE, ARISING OR RESULTING FROM MY PARTICIPATION IN
 THE EVENT.                                                                                             q I will be paying by credit card. Please charge my:
 I have read this agreement and understand that I have given up substantial rights by                     q AMEX         q MC          q VISA
 agreeing to it. I have signed this agreement freely and voluntarily without any inducement or
 assurances of any nature. I agree that if any portion of this agreement is held to be invalid,
 the balance shall continue to be in full force and effect.
 USE OF PHOTO, VIDEO OR FILM LIKENESS
                                                                                                        Name on card __________________________________________________
 In consideration of being permitted to participate in the Event, I irrevocably grant to City of Hope
 the right and permission to use my recorded voice, image and likeness in any medium                                                                                /
                                                                                                        Card # ____________________________________ Exp. date ____________
 including, without limitation, video, photograph, film and tape, for any lawful purpose.


 By (Signature)                                                      /
                   ______________________________________ Date ______________ , 2009
                                                                                                        Solicitor     ______________________________________________________

 Print Name     __________________________________________________________________                                       Please make checks payable to City of Hope/NHFI
                                                                                                                       1055 Wilshire Blvd., 12th Floor, Los Angeles, CA 90017


                                                        Registrations must be received by October 9, 2009.
                                                 Reservations and credit card charges may be faxed to 213-241-7203.
                  For questions or additional information, contact Michael Sandler at City of Hope at 800-272-2310 or e-mail: msandler@coh.org.
                                                                                                                                                                                J02-15336.ap.0709

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Nhfi Hike For Hope Reg Form

  • 1. City of Hope’s National Home Furnishings Industry Fourth Annual Hike for Hope Thursday, October 15, 2009 HIGH POINT MARKET TRANSPORTATION TERMINAL 200 Block, East Commerce Avenue High Point, N.C. GRAND MARSHALL Claire Goldhagen of Robb & Stucky EVENT INFORMATION Hike Registration 4:30 to 5:30 p.m. Hike for Hope 5:30 p.m. After-Hike Party 6 p.m. Featuring A to Z Blues Review and well known home furnishings industry executive bartenders. All proceeds from tips will go to City of Hope. SPONSORSHIP INFORMATION Hike for Hope Lead Sponsor Hike for Hope Co-sponsor Celebration of Life Sponsor $10,000 $5,000 $1,500 Premier signage on all collateral Signage on all collateral and banner Signage at after-hike party Lead position at the front of the Hike Included in all press communications Included in all press communications Included in all press communications Recognized at after Hike party Recognition during all portions of the event REGISTER NOW! Call 800-272-2310 or email msandler@coh.org.
  • 2. City of Hope’s National Home Furnishings Industry Fourth Annual Hike for Hope Registration Form REGISTRATION OPPORTUNITIES Hike for Hope Lead Sponsor . . .$10,000 $ ____________ Individual Registration ($20) $ ____________ Hike for Hope Co-sponsor . . . . . .$5,000 $ ____________ Additional Donations $ ____________ I am unable to participate but would like Celebration of Life Sponsor . . . . .$1,500 $ ____________ to make a donation in the amount of $ ____________ Total Sponsorship $ ____________ Grand Total $ ____________ Please be sure to sign the attached waiver and return it with your registration form! For further information or to register, visit www.cityofhope.org/nhfi/hike or call 800-272-2310. Proceeds to benefit City of Hope. REGISTRATION INFORMATION Hike for Hope 2009 waiver Name(s) ________________________________________________________ WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AND INDEMNITY AGREEMENT ________________________________________________________ In consideration of being permitted to participate in Hike for Hope (the “Event”) as a rider, volunteer or in any other capacity, I, for myself and for my heirs, next of kin, assigns and personal representatives: ________________________________________________________ 1. Represent that I am qualified, in good health and in proper physical condition to participate in the Event. If at any time during my participation in the Event I feel my physical condition no ______________________________________________________________________ longer allows me to participate safely or I believe the Event becomes unsafe, I will immediately stop my participation. 2. Acknowledge and understand fully that there are risks and dangers of serious bodily injury Company ______________________________________________________ and death that could result from my participation in the Event. The risks include, but are not limited to, weather, equipment, actions of other people including but not limited to event officials, other participants and volunteers, spectators, sponsors, event monitors, producers, E-mail __________________________________________________________ organizers, police and municipal workers and operators of motor vehicles in or around the area in which the Event will take place. Being aware of these risks and dangers, I have voluntarily elected to participate in the Event and I FULLY ACCEPT AND ASSUME ALL RISKS AND ALL Address ________________________________________________________ RESPONSIBILITY FOR ANY INJURY, LOSSES AND DAMAGES TO PERSON OR PROPERTY THAT I INCUR AS A RESULT OF MY PARTICIPATION IN THE EVENT. 3. I HEREBY AGREE NOT TO SUE AND TO RELEASE, DISCHARGE, WAIVE, HOLD HARMLESS City ________________________________ State ______ Zip ____________ AND TO INDEMNIFY CITY OF HOPE AND ITS AFFILIATES and their respective officers, directors, employees, volunteers, sponsors, advertisers, participants, agents and representatives, Phone __________________________Fax ____________________________ and all other sponsors, organizers, volunteers, officials, medical workers, producers, lessors and organizers and any involved municipalities or other public entities and each of the directors, officers, employees, agents, representatives, successors, heirs and assigns of any of the above individuals and entities (collectively and individually "Releasees") FROM AND AGAINST ALL LIABILITIES, CLAIMS, DEMANDS, LOSSES, DAMAGES, SUITS AND PROCEEDINGS, REGARDLESS OF THE CAUSE, INCLUDING THE NEGLIGENCE OR q Please bill me q Payment enclosed CARELESSNESS OF ANY RELEASEE, ARISING OR RESULTING FROM MY PARTICIPATION IN THE EVENT. q I will be paying by credit card. Please charge my: I have read this agreement and understand that I have given up substantial rights by q AMEX q MC q VISA agreeing to it. I have signed this agreement freely and voluntarily without any inducement or assurances of any nature. I agree that if any portion of this agreement is held to be invalid, the balance shall continue to be in full force and effect. USE OF PHOTO, VIDEO OR FILM LIKENESS Name on card __________________________________________________ In consideration of being permitted to participate in the Event, I irrevocably grant to City of Hope the right and permission to use my recorded voice, image and likeness in any medium / Card # ____________________________________ Exp. date ____________ including, without limitation, video, photograph, film and tape, for any lawful purpose. By (Signature) / ______________________________________ Date ______________ , 2009 Solicitor ______________________________________________________ Print Name __________________________________________________________________ Please make checks payable to City of Hope/NHFI 1055 Wilshire Blvd., 12th Floor, Los Angeles, CA 90017 Registrations must be received by October 9, 2009. Reservations and credit card charges may be faxed to 213-241-7203. For questions or additional information, contact Michael Sandler at City of Hope at 800-272-2310 or e-mail: msandler@coh.org. J02-15336.ap.0709