All funds are due by August 27, 2021
All funds raised will be a donation to Helping Haitian Angels and are therefore non-refundable

Mailing address


i.e. Physical Disability, Life Threatening Allergy, Vision/Hearing Loss, etc.
I will submit a Credit Card Guarantee Form to HHA upon my registration. In the event that I do not reach the required fundraising minimum of $1250 by August 27, 2021, I understand that my Credit Card will be charged the remaining balance.
Enter name or other unique identifier where the unique fundraising page will be located.

Card info


Billing address

  • I acknowledge that all rappellers must weigh between 100-300 lbs, per OTE regulation.
  • I acknowledge that a Parent/Legal Guardian must be on-site during the event and sign a Participant Waiver for any rappeller that is below the age of 18yrs.
  • I acknowledge that an electronic Participant Waiver must be submitted for any rappeller that is 18yrs or older. The link to the waiver form will be emailed to me as soon as I register.