TODD McGOVERN LEGACY GRANT APPLICATION

Todd McGovern Legacy Grant Application

  • Emergency Contact Information

  • Recommendations

    Recommendations are required from two sources, preferably non-family members. The recommendations should provide information about your experience battling cancer and should also address your Todd McGovern Legacy Grant proposal. Please send the individuals recommending you the following link to our recommendation form: seasit.org/grant-recommendation. Ask them to fill out the form and submit it back to Seas It. If you have any questions regarding your recommendations please contact jeni@seasit.org
  • Sign our waiver

    WAIVER AND RELEASE FOR GOOD AND VALUABLE CONSIDERATION I, the undersigned, understand that the Grant activity does not replace medical treatment, and I have reviewed my participation in a Seas It Grant program with my primary health care provider. I, the undersigned for myself, my successors, heirs, assigns, executors, and administrators agree that prior to participating in this Grant activity, I will inspect the facilities and equipment to be used and, if I believe any of them are unsafe, I will immediately advise the supervisory person at the facility. I understand that the Grant activity is a potentially hazardous activity, and I hereby voluntarily assume full and complete responsibility for, and the risk of, any injury or accident that may occur during my participation in the Grant. I am physically capable of completing the event. I understand that it is recommended that I discuss my participation with my primary health care provider. If I am aware of or under treatment for any physical infirmity, ailment or illness, I understand that it is my responsibility to have discussed the event and my participation in the event with my medical care provider(s) familiar with such condition. I acknowledge that I, and I alone, am solely responsible for my personal health and safety. I fully understand that I will be engaging in activities that involve risk of injury or death, including economic losses which might result not only from my injuries to myself, including medical or hospital bills, permanent or partial disability or death and damages to my property, real or personal caused by or resulting from my participation in the Event. I agree not to sue Seas It, Seas It’s volunteers, sponsors, employees, directors, officers and agents and their representatives, successors and assigns for any loss, damage, claim or demand arising from or attributable to my participation in the Event, and I hereby release, relinquish, waive and discharge Seas It, Seas It’s volunteers, sponsors, employees, directors, officers and agents and their representatives, successors and assigns from any and all liability, loss, damage, claim or demand arising from or attributable to my participation in the Event. I have consulted with my medical team and it has been determined that I am able to participate in a recreational activity. I HAVE READ THIS WAIVER AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN VOLUNTARILY.