Enroll in the Heart of Diabetes

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By clicking below I acknowledge that I am enrolling in one or more of the following American Heart Association, Inc. ("AHA") programs: The Heart of Diabetes, Choose to Move, and Go Red For Women (referred to in this document in any combination or individually as the "AHA Programs"). I desire to engage in the AHA Programs voluntarily and for my own personal reasons. I understand that it is my responsibility to consult with a physician to determine whether participation in the AHA Programs is right for me. The AHA Programs in which I am enrolling might advocate or involve physical activity such as exercise. Such physical activity is a potentially hazardous activity that involves physical risks. In consideration of being allowed to participate in the AHA Programs, I hereby expressly assume all risk arising out of my participation. It is my responsibility to consult with a physician to determine my fitness to engage in any and all activities associated with the AHA Programs. It is also my responsibility to use equipment clothing and techniques appropriate to the activities related to the AHA Programs. I am solely responsible for my own safety. I agree to not sue, and to release, indemnify and hold harmless, the AHA, its affiliates, officers, directors, volunteers and employees, and all sponsors of the AHA Programs sponsors and the agents of such sponsors, from any and all liability, claims, demands and causes of action whatsoever, arising out of my participation in the AHA Programs, whether arising from the negligence of any of the above parties or from any other cause. The foregoing release, indemnification and hold harmless shall be as broad and inclusive as is permitted by the state in which I live. I acknowledge that I assign the right to the American Heart Association (AHA) to gather, process, analyze, and retain the medical, demographic and/or other information that I supply in the AHA Programs so that the AHA may provide and improve its programs, products, and services. I consent to the disclosure by the AHA of any of this medical, demographic and/or other information to entities which the AHA uses to gather, process, analyze and retain this information and to mail me material. I consent to the aggregation of my non-identifying information with like information from other people, and I consent to the release of such aggregated information to other parties, including but not limited to the sponsors of the AHA. I authorize the AHA to mail me information about the AHA Programs or about other AHA offerings. I acknowledge and agree that the AHA may discontinue the AHA Programs without notice to me and that I shall have no continuing rights in the AHA Programs upon such termination. I assert that I am the person about whom the information I am providing relates. If any portion of this agreement is held invalid, the balance shall continue in full force and effect. If you do not wish to receive free educational materials from this program, you may delete your name and e-mail from our mailing list by visiting http://www.informz.net/heart/default.asp?fid=215. Or you may write to us with your name, address and email to the address below. Note: Please make sure your name and address match the information that you provided during registration. National Marketing and Promotions American Heart Association 7272 Greenville Avenue Dallas, TX 75231 We apologize for any inconvenience if you are sent an e-mail in error.
I have read, understand, and agree to the terms of this agreement.*