INSTRUCTIONS FOR COMPLETING REGISTRATION. 2. Fill out the forms completely with necessary information and signatures:

Size: px
Start display at page:

Download "INSTRUCTIONS FOR COMPLETING REGISTRATION. 2. Fill out the forms completely with necessary information and signatures:"

Transcription

1

2 INSTRUCTIONS FOR COMPLETING REGISTRATION 1. Print out the Waiver of Liability, Medical Release Form and Participant Information Sheet attached to this document 2. Fill out the forms completely with necessary information and signatures: 3. Return Completed Forms to the EAOP office no later than Wednesday, July 8th, 2015 Via Mail or Drop Off: Early Academic Outreach Program University of California, Riverside 1228 Student Services Building 900 University Ave Riverside, CA Via Fax (951) Via Scan & 4. Print, complete and bring your completed answers for the Writing the Personal Statement worksheet to the Senior Summit Orientation you registered for.

3 UNIVERSITY OF CALIFORNIA, RIVERSIDE Waiver of Liability, Assumption of Risk, and Indemnity Agreement EAOP SENIOR SUMMIT (Wednesday, July 29- Friday July 31, 2015) Waiver: In consideration of being permitted to participate in any way in General Services for the Early Academic Outreach Program until completion of high school (Academic Advising, Tutoring, Campus Tours, Specialized Workshops) hereinafter called "The Activity", I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue The Regents of the University of California, its officers, employees, and agents from liability from any and all claims including the negligence of The Regents of the University of California, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in The Activity. Assumption of Risks: Participation in The Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions to 3) catastrophic injuries including paralysis and death. I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary and that I knowingly assume all such risks. Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD The Regents of the University of California HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney s fees brought as a result of my involvement in The Activity and to reimburse them for any such expenses incurred. Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. Participant's Age (if minor) Vol Waiver 7/01

4 University of California, Riverside Early Academic Outreach Program SENIOR SUMMIT 2015 RELEASE FOR EMERGENCY MEDICAL TREATMENT AND MEDICATION AUTHORIZATION (PLEASE PRINT) Student Name: Name of School he/she attends: Grade Parent s/guardian s Name: Home Phone: ( ) Work/Emergency Phone: ( ) Insurance Company: Policy Number: The program provides an excess Accident insurance policy for each participant. The coverage payable under the University s policy is in excess of any other valid and collectible medical insurance that is in force on a participant. I do I do not permit my child to be given aspirin or Tylenol when necessary. (Please check one) I authorize the use of the following medication(s): Please list under what condition medication is to be taken and instructions for its use: Print Parent/Guardian Name Date Parent/Guardian Signature

5 Participant s Name: Print Name UNIVERSITY OF CALIFORNIA AT RIVERSIDE OUTDOOR EXCURSIONS - STUDENT RECREATION CENTER Waiver of Liability, Assumption of Risk, and Indemnity Agreement Waiver: In consideration of being permitted to participate in any way in Outdoor Excursions activity (herein after known as Team Excursions ), on / 20 through / 20. I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue The Regents of the University of California, its officers, employees, and agents from liability from any and all claims including the negligence of The Regents of the University of California, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in Team Excursions activities. Assumption of Risks: Participation in Outdoor Excursions activities carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions 3) catastrophic injuries including paralysis and death. I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in the activities made possible by Outdoor Excursions. I hereby assert that my participation is voluntary and that I knowingly assume all such risks. Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD The Regents of the University of California HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney s fees brought as a result of my involvement in Outdoor Excursions activities and to reimburse them for any such expenses incurred. Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. Participant s Age (if minor) Elec Vol 5/01

6 Challenge Course Participant Information Participant Name: Date: Address: City: Home Phone: Work Phone: Date of Birth: CONFIDENTIAL HEALTH INFORMATION All items must be completed. If not, the person above will not be permitted to participate. List allergies, if any: (i.e. bug bites, drugs, food, etc. Note: counteractive medications should be carried at all times.) Medication(s): List any serious illness or injury experienced within the past 3 years: List any current medical conditions: (i.e. Asthma, Diabetes, Epilepsy, heart conditions, etc.) List all conditions that may affect ability to participate: (i.e. history of cardiac conditions in the family, etc.) Do you have any conditions or limitations for which you are currently under doctor s care? EMERGENCY CONTACT 1. Name: Relationship: Home Phone: Work Phone: 2. Name: Relationship: Home Phone: Work Phone: Do you carry medical insurance? Yes No Group Number: Provider:

7 This worksheet is meant to help you narrow your focus for each prompt. On a separate sheet of paper, answer the questions below while thinking about the context of the two prompt. PROMPT #1 Describe the world you come from for example, your family, community or school and tell us how your world has shaped your dreams and aspirations. PROMPT #2 Tell us about a personal quality, talent, accomplishment, contribution or experience that is important to you. What about this quality or accomplishment makes you proud and how does it relate to the person you are? What are your short-term goals? What are your long-term dreams and aspirations? How have your dreams and aspirations been shaped by your o Family: Are you an only child or do you come from a large family? Do you have an important role to play in your family? Are you the first person in your family to go to college? How does your family interact with one another? o Community: What type of community do you belong to? What are the challenges or opportunities that exist in your community? Does culture play an important role in your community? o School: What academic, extra-curricular or other opportunities have been available to you? Is it common for students to go college at your high school? What type of culture exists in your high school? How does this relate to your success in college? What are you most proud of about yourself? How does this relate to the person you are? What do you consider one of your strengths? What are you good at? What have you done to develop your career interests? o Community Service/Volunteer o AP/Honors Courses o Work/Internships o Clubs/Organizations o College Prep Programs (EAOP, etc.) How does this relate to your success in college? The Personal Statement is your interview with the University of California. The UC is not looking for a specific writing style; they are looking for content. Your response should add clarity, depth and/or context to the application as a whole Be You. Use plenty of I Statements. Avoid Clichés. Talk about yourself so that UC can get to know your personality, talents, accomplishments and potential success on a UC campus.

Name of Coach: Qualifications: (Attach resume) Please list qualifications and experiences relating to coaching this activity:

Name of Coach: Qualifications: (Attach resume) Please list qualifications and experiences relating to coaching this activity: University of California, Irvine Campus Recreation CLUB SPORTS VOLUNTEER COACH AGREEMENT PLEASE PRINT LEGIBLY Name of Sport Club: Year: Name of Coach: Home Address: Daytime Phone #: Cell Phone #: E-mail

More information

Math + Leadership Camp at CSUSM Registration Forms

Math + Leadership Camp at CSUSM Registration Forms Math + Leadership Camp at CSUSM Registration Forms CONTACT INFORMATION Math for America San Diego Email: sandiego@mathforamerica.org Phone: 858-822-6284 Registration Checklist Complete all sections of

More information

Hornets Youth Enrichment Summer Program 1200 North DuPont Highway Dover, Delaware 19901 Telephone: 302-857-6824 Fax: 302-857-6823

Hornets Youth Enrichment Summer Program 1200 North DuPont Highway Dover, Delaware 19901 Telephone: 302-857-6824 Fax: 302-857-6823 Hornets Youth Enrichment Summer Program 1200 North DuPont Highway Dover, Delaware 19901 Telephone: 302-857-6824 Fax: 302-857-6823 Participant Last Name: Participant First Name: Grade: Age: Gender: Male

More information

EXPRESSIVE ROBOTICS STUDENT QUESTIONAIRE

EXPRESSIVE ROBOTICS STUDENT QUESTIONAIRE EXPRESSIVE ROBOTICS STUDENT QUESTIONAIRE This general info form should be completed by the student attending the camp (not their parents) and returned with the registration form. print clearly. Name: Age

More information

UCI SUMMER SESSION 2012 TRAVEL-STUDY PROGRAMS ENROLLMENT PACKET CHECKLIST

UCI SUMMER SESSION 2012 TRAVEL-STUDY PROGRAMS ENROLLMENT PACKET CHECKLIST ENROLLMENT PACKET CHECKLIST Thank you for your interest in UCI Summer Session Travel-Study Programs! Enrollment packets that are not 100% complete will not be processed. You must sign and date all portions

More information

MOUNTLAKE TERRACE POLICE DEPARTMENT GUEST RIDE-ALONG POLICY AND APPLICATION

MOUNTLAKE TERRACE POLICE DEPARTMENT GUEST RIDE-ALONG POLICY AND APPLICATION MOUNTLAKE TERRACE POLICE DEPARTMENT GUEST RIDE-ALONG POLICY AND APPLICATION In keeping with its commitment to community policing, the Mountlake Terrace Police Department offers qualified persons the opportunity

More information

Registration Form. Child s Name: Grade: Age:

Registration Form. Child s Name: Grade: Age: Parent s Name: Address: Email Address: Cell Phone: Emergency Contact Name: Registration Form Home Phone: Number: Child s Name: Grade: Age: School Name: Gender: Male: Female: T-Shirt Size: Small: { } Medium:

More information

VOLUNTEER APPLICATION

VOLUNTEER APPLICATION VOLUNTEER APPLICATION Name (Last, First) UCSD PID (if applicable) Mailing Address City / State / Zip Cell Phone Email Address (please print/type clearly) UCSD Affiliation : Undergrad Grad Staff Faculty

More information

THE KARATE CLUB AT UC RIVERSIDE カリフォルニア 大 学 リバーサイド 校 の 空 手 クラブ

THE KARATE CLUB AT UC RIVERSIDE カリフォルニア 大 学 リバーサイド 校 の 空 手 クラブ THE KARATE CLUB AT UC RIVERSIDE カリフォルニア 大 学 リバーサイド 校 の 空 手 クラブ Welcome Shihans, Senseis, Senpais and fellow Karate-ka Family, Greetings from the Karate Club at UC Riverside, we re proud and pleased to

More information

Welding and Fabricating Training Program

Welding and Fabricating Training Program This is the enrollment agreement for the ALLWEST Welding and Fabricating Training program. Please complete this agreement and return it to the administrative offices at: 12928 E. Indiana Avenue, Suite

More information

Motorcycle RiderCourse WAIVERS

Motorcycle RiderCourse WAIVERS Motorcycle RiderCourse WAIVERS General Instructions All pages must be completed and signed. If you have any questions, call (231) 591-5819. Mail completed forms to: Motorcycle Rider Courses, Ferris State

More information

NOTICE OF VOLUNTEER OPPORTUNITY

NOTICE OF VOLUNTEER OPPORTUNITY City of Chicago Rahm Emanuel, Mayor Department of Animal Care & Control NOTICE OF VOLUNTEER OPPORTUNITY NOTICE OF VOLUNTEER OPPORTUNITY Animal Care & Control - UNPAID The Department of Animal Care & Control

More information

California Polytechnic State University, Pomona Vietnamese Student Association. Family. Honor. Tradition.

California Polytechnic State University, Pomona Vietnamese Student Association. Family. Honor. Tradition. California Polytechnic State University, Pomona Vietnamese Student Association Family. Honor. Tradition. ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM Name of Activity or Event: CAL POLY POMONA VSA WINTER

More information

2015 ADF School Medical/Insurance Information & Liability Waivers INSURANCE INFORMATION

2015 ADF School Medical/Insurance Information & Liability Waivers INSURANCE INFORMATION These forms must be completed and signed in all appropriate places by the participant, the participant s physician, and if under age 18, by the participant s legal guardian. The medical information we

More information

CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING

CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING The undersigned, in consideration of being permitted to participate

More information

DATE OF BIRTH: STREET ADDRESS: CITY/STATE/ZIP:

DATE OF BIRTH: STREET ADDRESS: CITY/STATE/ZIP: Get Noticed Beach Volleyball Waiver WAIVER AND RELEASE, EXPRESS ASSUMPTION OF RISK, INDEMNITY AND HOLD HARMLESS AGREEMENT, AND GRANT OF RIGHTS NAME OF PLAYER: PLAYER AGE DATE OF BIRTH: PLAYER GRADE as

More information

Release of Liability. Printed Name of Participant:

Release of Liability. Printed Name of Participant: Release of Liability IN CONSIDERATION of being given the opportunity to participate in any USRowing activity, including scheduled, supervised club activities, and registered regattas, during the policy

More information

TEXAS A&M UNIVERSITY-COMMERCE WAIVER PACKET

TEXAS A&M UNIVERSITY-COMMERCE WAIVER PACKET TEXAS A&M UNIVERSITY-COMMERCE WAIVER PACKET 1. TAMU-COMMERCE GENERAL WAIVER All camp participants must complete the TAMU-C General Waiver. 2. CAMPUS RECREATION (MRC & ABE) WAIVER If your camp is utilizing

More information

2015 Coach E s Flagler College Basketball Camps

2015 Coach E s Flagler College Basketball Camps 2015 Coach E s Flagler College Basketball Camps Necci Brown 2015 Averaged a 31.9 field goal percentage during her career as a Saint July 13-17 Camp Registration Campers cannot be admitted without full

More information

APPENDIX B. Adult Check here if the intern is an adult. Minor Check here if the intern is a minor.

APPENDIX B. Adult Check here if the intern is an adult. Minor Check here if the intern is a minor. APPENDIX B Adult Check here if the intern is an adult. Minor Check here if the intern is a minor. IMPORTANT: ALL ADULT INTERNS AGREE: [Insert Name] ( Intern ), by my own request, desire to participate

More information

THE GYM, LLC MEMBERSHIP AGREEMENT

THE GYM, LLC MEMBERSHIP AGREEMENT Member s Name: THE GYM, LLC MEMBERSHIP AGREEMENT For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned ( Member ) and THE GYM, LLC, a Colorado

More information

INTERNATIONAL LEADERSHIP OF TEXAS

INTERNATIONAL LEADERSHIP OF TEXAS INTERNATIONAL LEADERSHIP OF TEXAS ACKNOWLEDGMENT OF RISK, INDEMNITY, WAIVER AND RELEASE OF LIABILITY AGREEMENT, NOTICE OF FINANCIAL RESPONSIBILITY, AND MEDICAL AUTHORIZATION & INFORMATION FORM IN WITNESS

More information

Pittsfield Family YMCA: Personal Training Services

Pittsfield Family YMCA: Personal Training Services Pittsfield Family YMCA: Personal Training Services I would like to purchase the following Client s Name personal training package with personal trainer : Trainer s Name 1 Session, $40 2 Sessions, $80 5

More information

Indemnity to ERC, and to Minor Release

Indemnity to ERC, and to Minor Release Universal Release of Liability This is a release of claims, a waiver of liability, an assumption of risk, and an indemnity agreement. By signing this document, you will irrevocably waive and release certain

More information

IMPORTANT: THIS IS A LEGAL DOCUMENT, PLEASE READ AND UNDERSTAND THIS DOCUMENT BEFORE SIGNING

IMPORTANT: THIS IS A LEGAL DOCUMENT, PLEASE READ AND UNDERSTAND THIS DOCUMENT BEFORE SIGNING IMPORTANT: THIS IS A LEGAL DOCUMENT, PLEASE READ AND UNDERSTAND THIS DOCUMENT BEFORE SIGNING. ASSUMPTION OF RISK, WAIVER OF LIABILITY AND INDEMNIFICATION AGREEMENT This agreement (the Agreement ) must

More information

Thank you for your interest in the Illinois Association for College Admission Counseling s 2015 CAMP COLLEGE program!

Thank you for your interest in the Illinois Association for College Admission Counseling s 2015 CAMP COLLEGE program! Greetings! Thank you for your interest in the Illinois Association for College Admission Counseling s 2015 CAMP COLLEGE program! These waiver forms must be completed and submitted in order for your application

More information

Please read the waiver carefully. If you have any questions or concerns contact registration@aiusa.org.

Please read the waiver carefully. If you have any questions or concerns contact registration@aiusa.org. Amnesty International USA sponsors special enrichment events for youth leaders as a means of providing a comprehensive and diverse learning environment to further their understanding of and participation

More information

WHEREAS, Participants desire to participate in ALL the recreational activities available at the Trampoline Park; and

WHEREAS, Participants desire to participate in ALL the recreational activities available at the Trampoline Park; and THIS PARTICIPATION AGREEMENT is made and effective as of the last date executed (hereinafter the "Effective Date") by and between Get Air Savannah (hereinafter "Get Air") and the adult or guardian identified

More information

TEXAS A&M INTERNATIONAL UNIVERSITY

TEXAS A&M INTERNATIONAL UNIVERSITY AGREEMENT FOR WAIVER, INDEMNIFICATION, ASSUMPTION OF RISK AND MEDICAL TREATMENT AUTHORIZATION I,, age, desire to participate voluntarily in all activities of the ( Activity ), which is sponsored or conducted

More information

All Students - Please complete items 1-5 All paperwork must have original signatures and be readable. No partial submissions will be accepted.

All Students - Please complete items 1-5 All paperwork must have original signatures and be readable. No partial submissions will be accepted. Independent Study Physical Education (I.S.P.E.) The following items must be on file before your Independent Study application is complete. (1) Complete the online I.S.P.E. contract (keep a copy for your

More information

North Dakota College Tour

North Dakota College Tour North Dakota College Tour University of North Dakota North Dakota State University Minnesota State University, Moorhead Friday, October 31 - Saturday, November 1, 2014 Open to Sophomores, Juniors, and

More information

PARTICIPANT AGREEMENT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

PARTICIPANT AGREEMENT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT PARTICIPANT AGREEMENT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I, the undersigned, on behalf of my minor child: ( Participant ), hereby acknowledge that Participant has

More information

San Antonio Tennis Academy

San Antonio Tennis Academy A Six Sigma Standard- The relentless and rigorous pursuit for near perfection 2014 Summer Tennis Camps at San Antonio Christian School Bronze Summer Camp- (ages 8-14 & intro-intermediate High School) 1

More information

Delaware, Dubuque and Jackson County Regional Transit Authority. 7600 Commerce Park Dubuque, IA 52002 1 800 839 5005 www.rta8.org

Delaware, Dubuque and Jackson County Regional Transit Authority. 7600 Commerce Park Dubuque, IA 52002 1 800 839 5005 www.rta8.org Delaware, Dubuque and Jackson County Regional Transit Authority 7600 Commerce Park Dubuque, IA 52002 1 800 839 5005 www.rta8.org How it works: Pick up a volunteer drivers handbook (see page 3 for where

More information

NEW STUDENT REGISTRATION

NEW STUDENT REGISTRATION NEW STUDENT REGISTRATION High Performance: Academy Prep: Early Childhood: $20.00 registration fee (includes 2 Academy T-shirts) $20.00 registration fee (includes 2 Academy T-shirts) $10.00 registration

More information

Prairie Flight Camp. July 19-24. Prairie School of Mission Aviation. Box 4000 Three Hills, AB, Canada T0M 2N0 403.443.2349

Prairie Flight Camp. July 19-24. Prairie School of Mission Aviation. Box 4000 Three Hills, AB, Canada T0M 2N0 403.443.2349 Prairie Flight Camp 2015 July 19-24 Box 4000 Three Hills, AB, Canada T0M 2N0 403.443.2349 Our Purpose s program exists to prepare mission-minded pilots for Global Ministry. Our graduates are currently

More information

2015-16 Insurance Information Insurance coverage

2015-16 Insurance Information Insurance coverage 2015-16 Insurance Information Insurance coverage At USA Wrestling, our top priorities are safety and security. That's why we make sure you're covered by General Liability, Accidental Medical Expense, and

More information

Kansas Speedway 400 Speedway Blvd Kansas City KS 66111 Ticket Office 913.328.3300 www.kansasspeedwaycorp.com COMING 70E

Kansas Speedway 400 Speedway Blvd Kansas City KS 66111 Ticket Office 913.328.3300 www.kansasspeedwaycorp.com COMING 70E Kansas Speedway 400 Speedway Blvd Kansas City KS 66111 Ticket Office 913.328.3300 www.kansasspeedwaycorp.com COMING 70E TAKE 435N EXIT 411B TO STATE AVE WEST EXIT 13B COMING 70W TAKE 435N EXIT 411B TO

More information

Santa Monica College Administrative Regulation - Students Activities and Student Conduct

Santa Monica College Administrative Regulation - Students Activities and Student Conduct Santa Monica College Administrative Regulation - Students Activities and Student Conduct (AR5319-091481) Extracurricular Trips Arrangements for trips by clubs and other non-athletic extracurricular activity

More information

SANTA BARBARA SCHOOL DISTRICTS, SECONDARY EDUCATION INDEPENDENT STUDY PHYSICAL EDUCATION. HOLD HARMLESS AGREEMENT (Agency/Instructor/Coach)

SANTA BARBARA SCHOOL DISTRICTS, SECONDARY EDUCATION INDEPENDENT STUDY PHYSICAL EDUCATION. HOLD HARMLESS AGREEMENT (Agency/Instructor/Coach) SANTA BARBARA SCHOOL DISTRICTS, SECONDARY EDUCATION INDEPENDENT STUDY PHYSICAL EDUCATION HOLD HARMLESS AGREEMENT (Agency/Instructor/Coach) (Agency/Instructor/Coach) hereby agrees to defend, indemnify and

More information

Indianapolis Motor Speedway 4790 West 16 th Street Indianapolis IN 46222 Ticket Office 317.484.6700 www.brickyard400.com

Indianapolis Motor Speedway 4790 West 16 th Street Indianapolis IN 46222 Ticket Office 317.484.6700 www.brickyard400.com Indianapolis Motor Speedway 4790 West 16 th Street Indianapolis IN 46222 Ticket Office 317.484.6700 www.brickyard400.com From the Airport: Take I-465 north to exit 16A. Turn right at the top of the exit

More information

BERKELEY BUSINESS ACADEMY FOR YOUTH

BERKELEY BUSINESS ACADEMY FOR YOUTH SEEKING... A motivated 9 th to 11 th grade student with a strong interest in business and American culture Stellar high school academic performance and decent English language proficiency College-bound,

More information

J UNE 15 - AUGUST 7 GRADES (going into) HEADSTART - 7th grade

J UNE 15 - AUGUST 7 GRADES (going into) HEADSTART - 7th grade J UNE 15 - AUGUST 7 GRADES (going into) HEADSTART - 7th grade Our day camp offers structured activities from 8:00 a.m. to 5:00 p.m., 5 days a week for an eight-week program, all at one low price. Children

More information

Child and Youth Group. Volunteer Waiver Form

Child and Youth Group. Volunteer Waiver Form Child and Youth Group Volunteer Waiver Form VOLUNTEER WAIVER WARNING OF RISK, WAIVER, RELEASE OF ALL CLAIMS AGREEMENT Please read this form carefully and be aware that, in participating, you will be waiving

More information

WESTERN NEW YORK OFFSHORE POWERBOAT ASSOC., INC. 2015 BUFFALO POKER RUN - AUGUST 7-8, 2015

WESTERN NEW YORK OFFSHORE POWERBOAT ASSOC., INC. 2015 BUFFALO POKER RUN - AUGUST 7-8, 2015 WESTERN NEW YORK OFFSHORE POWERBOAT ASSOC., INC. 2015 BUFFALO POKER RUN - AUGUST 7-8, 2015 ASSUMPTION AND ACKNOWLEDGMENT OF RISK AND RELEASE OF LIABILITY WAIVER 1. ALL OF THE UNDERSIGNED, DO HEREBY AFFIRMATIVELY

More information

Camp Waiver Packet. Student Signature: Date: - - Parent Signature: Date: - - (Parent s signature is required if the student is under the age of 18)

Camp Waiver Packet. Student Signature: Date: - - Parent Signature: Date: - - (Parent s signature is required if the student is under the age of 18) Camp Waiver Packet You should have completed the initial registration and payment process on our website at www.centennialaviationacademy.com prior to completing this packet. If you have not done so, please

More information

Compass Road to College Summer Tour Application

Compass Road to College Summer Tour Application Compass Road to College Summer Tour Application Student Information Name: Email Address: Sex: F M Birth Date: Primary Language Spoken at Home: English Spanish Other: Current School: School You ll be Attending

More information

Aquaculture, Biology, and Conservation Summer Camp 2015 Registration Forms

Aquaculture, Biology, and Conservation Summer Camp 2015 Registration Forms Aquaculture, Biology, and Conservation Summer Camp 2015 Registration Forms All forms and payment are due no later than June 15, 2015 Note: There is a $25 non-refundable registration fee, and no refunds

More information

Northstar Travel & Associates

Northstar Travel & Associates Northstar Travel & Associates TRAVEL BOOKING & PASSENGER REQUEST FORM (Please use 1 application form for each participant) NOTE: Please include a photocopy of the first page (ie. photo-page ) of your passport

More information

Personal Medical Conditions. Obligation Regarding Own Medical Insurance. Participation In This Activity Is Voluntary.

Personal Medical Conditions. Obligation Regarding Own Medical Insurance. Participation In This Activity Is Voluntary. Personal Medical Conditions It is your responsibility to check with a medical doctor to see if you (or your ward) have any medical or physical conditions which would preclude or limit your participation

More information

KU Summer Camp Registration Form 09 Please Print Clearly Due May 1, 2009 * REQUIRED INFORMATION

KU Summer Camp Registration Form 09 Please Print Clearly Due May 1, 2009 * REQUIRED INFORMATION KU Summer Camp Registration Form 09 Please Print Clearly Due May 1, 2009 * REQUIRED INFORMATION 1 *Participant: *Name of School: *Name of Coach: *Camper/Commuter: Check One: June Cheer Camp June Dance

More information

LATE PAYMENT FEES WITHDRAWAL FROM THE PROGRAM THIRD PARTY (SPLIT) PAYMENTS RESPONSIBLE PARTY. Parent/Guardian Agreement: Dear Parents and Guardians,

LATE PAYMENT FEES WITHDRAWAL FROM THE PROGRAM THIRD PARTY (SPLIT) PAYMENTS RESPONSIBLE PARTY. Parent/Guardian Agreement: Dear Parents and Guardians, Dear Parents and Guardians, In order to simplify and provide better service to everyone, Rancho Simi Recreation and Park District ( the District ) has implemented the following payment processing procedures

More information

VOLUNTEER ATHLETIC COACHES RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

VOLUNTEER ATHLETIC COACHES RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT VOLUNTEER ATHLETIC COACHES RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I, ( Volunteer ), desire to participate as a volunteer athletic coach in the ( Program ) on. I acknowledge

More information

Initial. Registration Packet. Summer Academy June 3 rd to August 30 th Z M G. www.zmgtennis.com. HP and TTT Registration Form 1 ZMG Tennis, LLC

Initial. Registration Packet. Summer Academy June 3 rd to August 30 th Z M G. www.zmgtennis.com. HP and TTT Registration Form 1 ZMG Tennis, LLC Registration Packet Summer Academy June 3 rd to August 30 th Z M G www.zmgtennis.com HP and TTT Registration Form 1, LLC Enrolment Process prides its self on offering everything essential in the development

More information

MEMBERSHIP/BOAT SUPPORT APPLICATION

MEMBERSHIP/BOAT SUPPORT APPLICATION MEMBERSHIP/BOAT SUPPORT APPLICATION Family memberships include no more than two adults per household and their unmarried rowing children under the age of 21 (or currently enrolled in school up to age 23).

More information

June 4, 2015. Dear Parents,

June 4, 2015. Dear Parents, June 4, 2015 Dear Parents, We are excited to offer a special opportunity for your students for the 2015-2016 school year from the Vetri Foundation and the Free Library of Philadelphia. The Free Library

More information

3004 S. Rancho Dr. Las Vegas, NV. 89102 * PH: 702-220-5614 * www.tevakanui.com

3004 S. Rancho Dr. Las Vegas, NV. 89102 * PH: 702-220-5614 * www.tevakanui.com 2009/2010 Policy Agreement I have received a copy of the 2009/2010 studio policy and current class schedule. I agree to adhere to all studio policies as contained in this document and explained to me.

More information

UNIVERSITY OF HOUSTON STUDY ABROAD PROGRAM ACTIVITIES PARTICIPANT S RELEASE AND WAIVER OF LIABILITY AGREEMENT (Form A1) I. RELEASE

UNIVERSITY OF HOUSTON STUDY ABROAD PROGRAM ACTIVITIES PARTICIPANT S RELEASE AND WAIVER OF LIABILITY AGREEMENT (Form A1) I. RELEASE UNIVERSITY OF HOUSTON STUDY ABROAD PROGRAM ACTIVITIES PARTICIPANT S RELEASE AND WAIVER OF LIABILITY AGREEMENT (Form A1) This Release and Waiver of Liability Agreement is entered into by all Participants

More information

Club Sport Coach/Instructor Agreement, Risk Acknowledgement and Liability Waiver

Club Sport Coach/Instructor Agreement, Risk Acknowledgement and Liability Waiver Club Sport Coach/Instructor Agreement, Risk Acknowledgement and Liability Waiver This Agreement is in effect from August 1, 2010 - July 31, 2011 Approved Club Sport: (hereinafter referred to as Club Sport

More information

TxSWANA. Houston, Texas. June 26 th and 27 th. Registration Packet. Sponsored by the City of Houston and Republic Services

TxSWANA. Houston, Texas. June 26 th and 27 th. Registration Packet. Sponsored by the City of Houston and Republic Services 2015 TxSWANA ROAD-E-O Houston, Texas June 26 th and 27 th Registration Packet Sponsored by the City of Houston and Republic Services 2015 TxSWANA Lone Star Chapter Road-E-O WAIVER OF LIABALITY AND RELEASE

More information

COUNTY OF YUBA REQUEST FOR PROPOSAL SOUTH ANNEX BUILDING ASBESTOS ABATEMENT. Due Date: November 13, 2009 Time: 2:00 PM, PST.

COUNTY OF YUBA REQUEST FOR PROPOSAL SOUTH ANNEX BUILDING ASBESTOS ABATEMENT. Due Date: November 13, 2009 Time: 2:00 PM, PST. COUNTY OF YUBA REQUEST FOR PROPOSAL SOUTH ANNEX BUILDING ASBESTOS ABATEMENT Due Date: November 13, 2009 Time: 2:00 PM, PST. October 19, 2009 To: All Interested Vendors Re: Request for Proposals, County

More information

Registration Form Spots are limited and on a first come first serve basis

Registration Form Spots are limited and on a first come first serve basis UT Houston Medical School s JAMP Symposium March 27 th or April 17 th, 2015 Registration Form Spots are limited and on a first come first serve basis Please Note: Registration is not complete until you

More information

Chang Scholarship Student Information

Chang Scholarship Student Information Chang Scholarship Student Information The mission of the Davis Schools Orchestral Music Association (DSOMA) is to support music students and the music program in general. Our music teachers believe that

More information

SAINT LOUIS UNIVERSITY STUDY ABROAD PARTICIPATION AGREEMENT AND ASSUMPTION OF RISK AND RELEASE OF CLAIMS

SAINT LOUIS UNIVERSITY STUDY ABROAD PARTICIPATION AGREEMENT AND ASSUMPTION OF RISK AND RELEASE OF CLAIMS SAINT LOUIS UNIVERSITY STUDY ABROAD PARTICIPATION AGREEMENT AND ASSUMPTION OF RISK AND RELEASE OF CLAIMS I, ( ) the undersigned student wish to participate in a study abroad Program offered by Saint Louis

More information

Texas A&M University-Corpus Christi Youth Program Medical Emergency Information/Consent for Treatment

Texas A&M University-Corpus Christi Youth Program Medical Emergency Information/Consent for Treatment Texas A&M University-Corpus Christi Youth Program Medical Emergency Information/Consent for Treatment Youth s name: Address: Date of birth: Parent/guardian phone: Home Work Pager/Cellular Medical Information

More information

RELEASE OF LIABILITY, INDEMNITY, AND BACKGROUND CHECK AUTHORIZATION AGREEMENT

RELEASE OF LIABILITY, INDEMNITY, AND BACKGROUND CHECK AUTHORIZATION AGREEMENT RELEASE OF LIABILITY, INDEMNITY, AND BACKGROUND CHECK AUTHORIZATION AGREEMENT In consideration, the receipt and sufficiency of which is hereby acknowledged, for being allowed entry into and participation

More information

Emerald Hills Junior Golf Camp - Summer 2016. 938 WILMINGTON WAY REDWOOD CITY, CA 94062 www.playemeraldhills.com E-Mail - jrgolf.ehgc@gmail.

Emerald Hills Junior Golf Camp - Summer 2016. 938 WILMINGTON WAY REDWOOD CITY, CA 94062 www.playemeraldhills.com E-Mail - jrgolf.ehgc@gmail. OUR CAMPS ARE FOR GIRLS AND BOYS (AGES 5 THRU 14) Visit our website at Junior Golf Camp (9:00am 12:30pm) We start camp early (8:45am) on Monday for check-in and orientation. The camp is designed for beginners

More information

ECKERD COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS PARTICIPANTS

ECKERD COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS PARTICIPANTS ECKERD COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS PARTICIPANTS Summer Watersports Camp All-Sports Camp Baseball Camp Basketball Camp Golf Camp Sailing Camp Soccer Camp Softball Camp Tennis Camp Volleyball

More information

INDEMNITY AND HOLD HARMLESS AGREEMENT

INDEMNITY AND HOLD HARMLESS AGREEMENT MIAMI-DADE COUNTY, FLORIDA MEDICAL EXAMINER DEPARTMENT NUMBER ONE ON BOB HOPE ROAD MIAMI, FLORIDA 33136-1133 (305) 545-2400 INDEMNITY AND HOLD HARMLESS AGREEMENT A. (Insert the name) (the Agency) agree(s)

More information

UCD-Young Scholars Program Acceptance Confirmation Form

UCD-Young Scholars Program Acceptance Confirmation Form UCD-Young Scholars Program Acceptance Confirmation Form Dear Applicant, It is with great pleasure that I inform you that your application to the 2016 UC Davis -Young Scholars Program at the University

More information

Street hockey is a dry land variation of ice hockey that can be played all year-round.

Street hockey is a dry land variation of ice hockey that can be played all year-round. Greetings from the Nashville Predators! We are thrilled to introduce you to an exciting grassroots program from the National Hockey League and Nashville Predators. The NHL has organized a league-wide street

More information

TARLETON SPORTS MEDICINE. Student-Athlete Medical Information

TARLETON SPORTS MEDICINE. Student-Athlete Medical Information TARLETON SPORTS MEDICINE Student-Athlete Medical Information TARLETON STATE UNIVERSITY ATHLETICS DEPARTMENT Box T-0080 Stephenville, TX 76402 254-968-9178 254-968-9674 FAX www.tarletonsports.com Dear Parent

More information

I UNDERSTAND THAT THESE RISKS MAY RESULT IN INJURY OR EVEN DEATH.

I UNDERSTAND THAT THESE RISKS MAY RESULT IN INJURY OR EVEN DEATH. CORNELL COLLEGE S RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT FOR NON-EMPLOYEES ATTENDING FOR CREDIT ACTIVITIES OFFERED BY NON- EIIA MEMBER INSTITUTIONS OR OTHER THIRD PARTIES OR INDEPENDENT STUDY OR

More information

ARCADIA YOUTH RODEO ASSOCIATION, INC. 124 Heard Street, Arcadia, Florida 34266 863-494-2014 2015-2016 SEASON MEMBERSHIP APPLICATION

ARCADIA YOUTH RODEO ASSOCIATION, INC. 124 Heard Street, Arcadia, Florida 34266 863-494-2014 2015-2016 SEASON MEMBERSHIP APPLICATION 2015-2016 SEASON MEMBERSHIP APPLICATION MEMBER INFORMATION: BACK TAG # ISSUED: MEMBER NAME: ADDRESS: CITY: STATE: ZIP: HOME PHONE: CEL #: E-MAIL ADDRESS: (Please send newsletter via: Mail E-Mail ) DATE

More information

TRIO Upward Bound College Prep Program Participant Application

TRIO Upward Bound College Prep Program Participant Application TRIO Upward Bound College Prep Program Participant Application Upward Bound is a program that helps students develop the skills and motivation necessary to graduate from high school and succeed in college.

More information

PEACE DALE SHOOTING PRESERVE RELEASE, WAIVER OF LIABILITY & INDEMNITY AGREEMENT

PEACE DALE SHOOTING PRESERVE RELEASE, WAIVER OF LIABILITY & INDEMNITY AGREEMENT PEACE DALE SHOOTING PRESERVE RELEASE, WAIVER OF LIABILITY & INDEMNITY AGREEMENT CAUTION: READ THIS AGREEMENT CAREFULLY BEFORE SIGNING In consideration of Peace Dale Shooting Preserve, ("PDSP") furnishing

More information

AIRCRAFT RENTAL AGREEMENT

AIRCRAFT RENTAL AGREEMENT AIRCRAFT RENTAL AGREEMENT First Name: Last Name: Street Address: City: State: Zip: Home Phone: ( ) Cell Phone: ( ) Email: Date of Birth: / / Under Age 18 IN CASE OF EMERGENCY NOTIFY: Name: Telephone: Relationship:

More information

PRECOLLEGE PERSPECTIVE 2015 RELEASE, WAIVER AND INDEMINIFICATION

PRECOLLEGE PERSPECTIVE 2015 RELEASE, WAIVER AND INDEMINIFICATION PRECOLLEGE PERSPECTIVE 2015 RELEASE, WAIVER AND INDEMINIFICATION Ringling College of Art and Design requires all PreCollege Perspective participants to sign a Release, Waiver and Indemnification Agreement.

More information

Midwest Cheer Elite All-star Hip Hop Information 2015-2016

Midwest Cheer Elite All-star Hip Hop Information 2015-2016 Midwest Cheer Elite All-star Hip Hop Information 2015-2016 Welcome to Midwest Cheer Elite, Inc. We are delighted that you have chosen to become a part of one of the top All-Star programs in the Midwest!

More information

VIVA! Peer Tutors 2012 Health Literacy Video Contest COPYRIGHT FORM

VIVA! Peer Tutors 2012 Health Literacy Video Contest COPYRIGHT FORM COPYRIGHT FORM Every entrant must complete and submit this form together with ALL OTHER FORMS. Please do not send separately. All forms must be received by March 19, 2012. Please complete this form and

More information

CONSENT TO PARTICIPATE IN SCHOOL-SPONSORED SPORTS

CONSENT TO PARTICIPATE IN SCHOOL-SPONSORED SPORTS CONSENT TO PARTICIPATE IN SCHOOL-SPONSORED SPORTS THIS FORM CONTAINS THE CONDITIONS UNDER WHICH YOUR CHILD MAY PARTICIPATE IN THE STRATFORD SCHOOL SPORTS PROGRAM(S). PLEASE ENSURE YOU READ IT CAREFULLY

More information

REGISTRATION & MEDICAL FORM

REGISTRATION & MEDICAL FORM REGISTRATION & MEDICAL FORM NAME ADDRESS CITY PROV POSTAL TELEPHONE E-MAIL CLUB BIRTH DATE DD/ MM / YYYY AGE (on Dec. 31, 2011) GENDER: M F MB MEDICAL # For Office Use Only: Plate number: Category: Amount

More information

Tech Judo Open II Invitational Judo Tournament

Tech Judo Open II Invitational Judo Tournament Tech Judo Open II Invitational Judo Tournament USA Judo Sanction # 2015-12-02 Date: Sunday, February 15, 2015 Tournament Director: Clyde Worthen Tournament Coordinator: Leonardo Victoria Head Referee:

More information

LIABILITY RELEASE. Walk on Water Ministries 3330 Perkinson Lane Merritt Island, FL 32953 (321) 412-8057 Praisedancer.bryan426@gmail.

LIABILITY RELEASE. Walk on Water Ministries 3330 Perkinson Lane Merritt Island, FL 32953 (321) 412-8057 Praisedancer.bryan426@gmail. Walk on Water Ministries 3330 Perkinson Lane Merritt Island, FL 32953 (321) 412-8057 Praisedancer.bryan426@gmail.com LIABILITY RELEASE In consideration of being allowed to participate in horseback riding

More information

collaboration dedicated space learn, create, invent, network and share onsite tinkering BOOKING GUIDE

collaboration dedicated space learn, create, invent, network and share onsite tinkering  BOOKING GUIDE is a collaboration between National Library Board (NLB) and Infocomm Development Authority of Singapore, the first lab in a public library. Situated on the second floor of Jurong Regional Library, users

More information

Wilderness First Aid. Basler Center for Physical Activitiy. Saturday Feb. 25 - Sunday Feb. 26. Non Credit Instruction. Wilderness First Aid

Wilderness First Aid. Basler Center for Physical Activitiy. Saturday Feb. 25 - Sunday Feb. 26. Non Credit Instruction. Wilderness First Aid Non Credit Instruction Saturday Feb. 25 - Sunday Feb. 26 Wilderness First Aid Offered at ETSU through Landmark Learning. Saturday Feb. 25 through Sunday Feb. 26 8 a.m 5 p.m. Wilderness First Aid $125 ETSU

More information

SUMMER PROGRAM REGISTRATION

SUMMER PROGRAM REGISTRATION Las Cruces Museum System SUMMER PROGRAM REGISTRATION Please complete this form. One form per student please. Please write legibly. Mail or drop off: Las Cruces Museum System, PO BOX 20000, Las Cruces,

More information

Backcountry Outdoor Adventure Camp

Backcountry Outdoor Adventure Camp Backcountry Outdoor Adventure Camp Get outdoors. Connect with nature. Focused on combining a passion for biology, conservation, and ecology with outdoor recreation. Registration Packet is due by: Registration

More information

Citizens Academy Overview

Citizens Academy Overview If you reside, own property, or a own a business in the City of Sarasota, you are invited to apply for the Citizens Academy by downloading an application which is available on the Neighborhood and Development

More information

RYE AIRFIELD 6 AIRFIELD DRIVE RYE, NEW HAMPSHIRE 03870 WAIVER, RELEASE OF LIABILITY AND INDEMNITY AND HOLD HARMLESS AGREEMENT PARTICIPANT S NAME

RYE AIRFIELD 6 AIRFIELD DRIVE RYE, NEW HAMPSHIRE 03870 WAIVER, RELEASE OF LIABILITY AND INDEMNITY AND HOLD HARMLESS AGREEMENT PARTICIPANT S NAME RYE AIRFIELD 6 AIRFIELD DRIVE RYE, NEW HAMPSHIRE 03870 WAIVER, RELEASE OF LIABILITY AND INDEMNITY AND HOLD HARMLESS AGREEMENT PARTICIPANT S NAME UNDER 18 YEARS (SIGNED AND INITIALED BY PARTICIPANT AND

More information

General Policy - Off-Campus Travel of Student Groups

General Policy - Off-Campus Travel of Student Groups General Policy - Off-Campus Travel of Student Groups Policy: All off-campus travel to an activity or event involving students shall be conducted in accordance with the State Board of Higher Education (SBHE)

More information

UNIVERSITY OF CONNECTICUT UNDERGRADUTE EDUCATION FIELD TRIP POLICY

UNIVERSITY OF CONNECTICUT UNDERGRADUTE EDUCATION FIELD TRIP POLICY Field Trips are an important component of the experiential learning advocated in the University s academic plan for undergraduate education. In order to promote the success and safety of all involved in

More information

Dear Prospective Volunteer:

Dear Prospective Volunteer: Dear Prospective Volunteer: Urban Peak Colorado Springs 423 East Cucharras Street Colorado Springs, Colorado 80903 719-630-3223, ext. 2827 Eileen.O Reilly@urbanpeak.org http://www.urbanpeak.org/up_cos.html

More information

Lighthouse Christian Academy

Lighthouse Christian Academy Lighthouse Christian Academy APPLICATION - FORM 1 of 9 Term 20-20 Date Office Use Only Interviewed By: Status: STUDENT INFORMATION (Please print or type) Name (Last) (First) (Middle) Address (Street) (City)

More information

Santa Barbara Unified School District Independent Study Physical Education (ISPE) Criteria and Guidelines

Santa Barbara Unified School District Independent Study Physical Education (ISPE) Criteria and Guidelines Criteria and Guidelines To qualify for ISPE a student must have a Grade Point Average (GPA) of 2.0 and no conduct violations. In addition, the student must meet the following criteria: The student is an

More information

Summer 2015 Youth STEM REGISTRATION PACKET

Summer 2015 Youth STEM REGISTRATION PACKET Summer 2015 Youth STEM REGISTRATION PACKET Oakton Community College Alliance for Lifelong Learning and Center for Promoting STEM 1 Table of Contents OAKTON YOUTH STEM OVERVIEW...3 PROGRAM STRUCTURE...3

More information

Please list below any medical conditions and/or allergies the DBA Faculty should be

Please list below any medical conditions and/or allergies the DBA Faculty should be 2015-2016 Registration Form Name Of Child(ren): Date of Birth: Address Where Child Resides: Mailing Address (if different from above): Home Phone Number: Please check next to whom the child resides with:

More information

1. COMPLETE & SUBMIT YOUR APPLICATION

1. COMPLETE & SUBMIT YOUR APPLICATION Dear Prospective Young At Art Museum Teen Volunteer, YAA Teen Leadership Program Sponsored by American Express Charitable Fund Thank you for your interest in volunteering with Young At Art Museum. The

More information

2015 ACADEMIC CONNECTIONS INTERNATIONAL SUPPLEMENTAL APPLICATION

2015 ACADEMIC CONNECTIONS INTERNATIONAL SUPPLEMENTAL APPLICATION 2015 ACADEMIC CONNECTIONS INTERNATIONAL SUPPLEMENTAL APPLICATION FOR JULY 12 AUGUST 1, 2015 Applications are processed on a first come, first served, space-available basis. If your first choice course

More information

2016 Release and Waiver of Liability PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!

2016 Release and Waiver of Liability PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS! 2016 Release and Waiver of Liability PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS! This Release and Waiver of Liability (the Release ) is executed on this day of (month),

More information