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Participant Agreement Mandatory for All Organizers, Volunteers, Shavees, Children & Families Touched by Cancer I understand that the name St. Baldrick’s, the logo, and the leprechaun icon are registered trademarks of t
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Country

United States / /

MedicalCondition

scabies / communicable disease / Cancer I / whooping cough / respiratory illness / injury / cancer / mumps / disease / certain diseases / Such diseases / bacterial skin infection / pertussis / pediculosis / purulent conjunctivitis / chicken pox / varicella / such communicable disease / impetigo / tuberculosis / streptococcal pharyngitis / personal injury / /

Organization

St. Baldrick’s Foundation / /

Position

principal owner / representative / principal owner / or agent / head / /

ProvinceOrState

New Jersey / New / /