Use this registration form if you will be participating as a Breast Cancer Survivor. Please fill out one form per person. 

WAIVER AND INDEMNIFICATION I understand my consent to these provisions is given in consideration for being permitted to participate in this event. I am a voluntary participant in the event and in good physical condition. I hereby release and hold harmless Cancer Care Resource, Heidi Edwards Cooking for Cancer, the City of Lake Havasu and any of their employees from any claims I may have arising out of my participation in this event. I give permission to Cancer Care Resource and their sponsors to use any photographs, videotapes or other recordings of me that are made during the course of the event.