Student Organization Event Liability Waiver Form

Student Organization Event Liability Waiver Form
Complete this form to participate in the student organization event and acknowledge the liability waiver.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name of Student Organization Hosting the Event
Event Name
Event Date
MonthDayYear
Date
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature
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Should be Empty: