Wipe Out Cancer Event (Talent Show to Support Cancer Patients)

April 7, 2018 at 10:00 am Cox Performing Arts Center- DSU St. George, UT Buy Ticket Now

Wipe Out Cancer Event (Talent Show to Support Cancer Patients)

Performer Application (please fill the form completely)

At Oncotelligent we empower patients by providing extra care and support.

Every Year Oncotelligent celebrates health and cancer-free lives, come have fun, celebrate and learn about healthy living and cancer prevention from international scientist and experts.

An opportunity to become a part of the global community and to make a difference by saving lives

100% of the donation will go to develop innovative technologies to help patients directly!

This year Oncotelligent’s Dixie State University chapter is hosting our Wipe Out cancer  Day Event by bringing the variety of talented kids from southern Utah and beyond to show their support to help cancer patients and their family members.

Winning participant (s) will be featured on Oncotelligent’s website along with their school!

Not only this, there are several prizes for almost everyone! Come and represent your school and show your support to help cancer patients worldwide.

Preferred Time Slot:
12pm -2pm
2pm – 4pm
4pm – 6pm
No preference

Application fee: $25

I understand and agree that during the event participation, I will be filmed ( with still or video cameras) and these pictures or videos will be appropriately utilized by Oncotelligent for the current of future purposes without any limitations.

I am advised that I should consult with my personal physician before undertaking the workshop or any exercise program. I have no physical or medical condition which to my knowledge would endanger myself or others if I participate in the event.

I understand that participating in this event may require mental judgment and a high degree of physical fitness, agility, stamina, and strength and that this may include strenuous exercise. I agree to assume full responsibility for any risks, injuries, or damages, known or unknown, which I may incur as a result of participating in this event.

I, individually, and on behalf of my heirs, successors, assigns and personal representatives, hereby agree to discharge, release, and hold harmless the Cox Performing Arts Center- DSU and Oncotelligent, their respective board members, trustees, officers, employees, agents and independent contractors, affiliates and the United States of America, from any and all liability whatsoever for any and all damages, losses, injuries (including death) I sustain to my person or property or both, including but not limited to any claims, demands, actions, causes of action, judgments, expenses, and costs, including attorney fees, which arise out of, result from, occurring during, or are connected in any manner with my participation in the event.
I agree that Oncotelligent and affiliates in any circumstance will not be responsible for any claims or liability.

If the participant is under 18, this form must be signed by a parent/guardian.

After completing the application please pay here (save email receipt/print for admission):

 Every donation will significantly contribute in saving multiple lives

Please contact us at contact@oncotelligent.org with any feedback or ideas, we would love to hear from you.

2018/04/07 10:00:00