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In consideration of this entry, I hereby for myself, my executors, administrators and assignees, waive any and all right of claim for damages against the Alaska Nurses Association, Hospice of Anchorage, City of Anchorage, and all sponsors or any individual associated with said event for any and all injuries sustained by me in this event. Also, none of the above parties are responsible for the loss of personal items or any other for aggravation in connection with the said event. I attest and verify that I am physically fit and have trained for this event. I grant full permission to sponsors and others to use photos, film of my participation in said event without liability or obligation to me. In filling out this form, I acknowledge I have read and fully understand my own liability and do accept the restrictions.

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Shirts are only available in Adult Unisex sizes.

All donations will go to Hospice of Anchorage. Founded in 1980, Hospice of Anchorage is a nonprofit, 501(c)(3) organization and a partner agency of the United Way of Anchorage. They are a community agency comprised of an interdisciplinary team - volunteers, nurses, social service coordinators, bereavement coordinators and chaplains - who provide assistance to meet the transition from life through death and to cope with loss and grief. This may be a one-time visit, periodic contact or may grow into an ongoing relationship lasting weeks or months. All services are provided at no cost. 

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{{ 'SUBTOTAL' | translate}} : {{cart.subtotal | currency:"$":currency.decimal}}
{{customFee.description}} : {{customFee.price | currency:"$":currency.decimal}}
{{ 'PROCESSING_FEE' | translate }} : {{cart.fee | currency:"$":currency.decimal}}
{{!cart.hasLottery ? ('TOTAL'|translate) : ('TOTAL_CHARGE_AT_CHECKOUT'|translate)}} : {{cart.total | currency:"$": currency.decimal}}

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{{ 'SUBTOTAL' | translate}} : {{cart.subtotalLottery | currency:"$": currency.decimal}}
{{customFee.description}} : {{customFee.price | currency:"$": currency.decimal}}
{{ 'PROCESSING_FEE' | translate }} : {{cart.lotteryFee | currency:"$": currency.decimal}}
{{ 'TOTAL_CHARGE_IF_SELECTED' | translate}} : {{cart.lotteryTotal | currency:"$": currency.decimal}}
{{ 'IF_SELECTED_CHECKOUT' | translate:cart}}

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{{ 'REQUIRED' | translate }} {{ 'PAYMENT-NAME-MIN-LENGTH' | translate }}

{{ 'CARD-NUMBER' | translate }}

{{ 'REQUIRED' | translate }} {{ 'INVALID-CREDIT-CARD-NUMBER' | translate }}

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{{crowdriseTeam.entryName}} Charity Event Fundraising on Crowdrise

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