Rappeler Registration

Welcome to the rappelers registration form

STEP 1: Have you Signed-Up through the Over the Edge Fundraising Portal yet?  If not, click here to begin.

STEP 2: Complete the form below and submit.  We will soon be in touch to make arrangement to get you your Fundraising Kit and closer to the event with your rappelling time.


PHOTO RELEASE INFORMATION

By submitting this form, you consent to United Way of the Virginia Peninsula (UWVP), its officers, employees, and agents of each photograph, videotape or other likeness of me taken/recorded, and/or comments provided in the interviews and/or in writing.
 
Such uses may include, but are not limited to, every use in a publication, newspaper, advertisement, web site, video presentation, television show, multimedia programs or other types of promotional medium existing now or in the future.
 
You also waive any right to compensation for such uses, or to inspect or approve the uses beforehand.
 
You hereby consent to and authorize the use and reproduction by United Way of the Virginia Peninsula (UWVP).

 

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.