Sweat for Amber: a Halloween Workout with Heart

Sweat for Amber: a Halloween Workout with Heart
At just 44 years old, Amber is living with congestive heart failure. She can walk only about 30 feet before her heart becomes overworked. Her low blood pressure has prevented her from tolerating the full medication protocol, which leaves them waiting for her heart to weaken further before moving to the next steps in her care. Those steps include an LVAD, a device that helps her heart pump blood, while she waits for a heart transplant. We are raising funds to help Amber and her family cover medical expenses, needed medical equipment, and home renovations that will make their house functional for her needs. (She has recently learned that a grant that they were hoping could be used for home renovation funds is no longer available. The home renovation is estimated to cost $40,000.) Please join us in supporting Amber and her family.
🧡 Event Details & What to Expect
Date: Saturday, October 31 at 10:30

Location: COREFIT

8516 Cleveland Ave

North Canton, OH 44720

Time: Choose your preferred workout time when registering.

🎃 Costumes encouraged, but absolutely optional! Come dressed to have fun, move your body, and support Amber!

💪 All fitness levels are welcome! Our amazing coaches are volunteering thier time and will be on-site to offer modifications, provide encouragement, and help everyone participate at their own level.

🚗 A quick parking reminder: Portions of the workout may take participants outside for running or walking. Please drive slowly and be especially mindful of participants when entering and exiting the parking lot.

🧡 Not interested in working out? You can still make a difference! Donations are welcome even if you're unable to participate in the workout.
Name

First NameLast Name
Email
example@example.com
How would you like to participate?
Which 400m option do you anticipate doing?
Appointment
Will the participant be 18 or older as of October 31, 2026?
Participant Waiver, Release of Liability, and Assumption of Risk

Participant Waiver, Release of Liability & Assumption of Risk
I understand that participation in the Birthday Fundraiser Workout is voluntary and involves physical exercise, including activities such as running or other cardiovascular exercise, burpees, wall balls, kettlebell swings, sit-ups, lunges, and modified or alternative movements.

I understand that physical exercise involves inherent risks, including but not limited to muscle soreness, strains, sprains, falls, abnormal blood pressure or heart rate responses, cardiovascular events, and other injuries or medical complications. I knowingly and voluntarily assume these risks.

I understand that all exercises may be modified or substituted and that I am responsible for choosing an exercise option, weight, intensity, and pace that are appropriate for my current health and fitness level. I agree to stop exercising and notify event staff if I experience pain, dizziness, shortness of breath beyond what is expected with exercise, chest discomfort, or any other concerning symptoms.

I confirm that I am physically able to participate in this event. If I have a medical condition, injury, pregnancy, or other concern that may affect my ability to safely exercise, I understand that it is my responsibility to consult an appropriate healthcare professional before participating.

In consideration of being permitted to participate, I voluntarily release and hold harmless COREFIT, its owners, employees, coaches, volunteers, event organizers, and representatives from claims arising from the ordinary risks associated with my participation in this event, to the fullest extent permitted by law.

I understand that this release does not waive rights or claims that cannot legally be waived.

If I become injured or ill during the event and am unable to make decisions for myself, I authorize event staff to obtain emergency medical assistance on my behalf. I understand that I am responsible for any costs associated with medical care provided to me.

By signing below, I acknowledge that I have read and understood this waiver, have had the opportunity to ask questions, and voluntarily agree to its terms.
Signature
Participants Under Age 18

Participants under age 18 must have permission from a parent or legal guardian to participate.

By signing below, I confirm that I am the parent or legal guardian of the minor participant named above. I give permission for them to participate in the Sweat for Amber workout and acknowledge that I have read and agree to the event waiver and assumption of risk on their behalf.
Parent/Guardian Name

First NameLast Name
Parent/Guardian Legal Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Emergency Contact

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Every contribution—big or small—helps us support Amber! 🧡Please select the amount you'd like to donate. After clicking Submit, you'll receive instructions to send your donation directly to Amber through Venmo. No payment is collected through this form.
IMPORTANT: ONE FINAL STEP! 🧡

After completing this form, click the green Submit button below.

You'll then see a confirmation page with Amber's Venmo link and QR code to complete your donation.

Please don't close the page until you've completed your donation!

If Venmo is not a convenient method for you, please email the event organizer at amy.hassen.miller@gmail.com to arrange an alternative option.
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