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Augsburg College

Untitled Document

INFORMED CONSENT WAIVER

*THIS IS A BINDING LEGAL DOCUMENT. IF YOU DO NOT UNDERSTAND THE TERMS OF THIS DOCUMENT, PLEASE CONSULT AN ATTORNEY.

* I understand that participation in Augsburg College Intramural programs and the use of Augsburg College facilities and equipment involves risk of injury. I knowingly and voluntarily assume the risk of any injuries, regardless of severity, and including death, and all risk of damage to or loss of property which I may incur due to negligence or accidental occurrences while I am participating in an Intramural activity. On behalf of myself, my agents, heirs and next of kin, I hereby release Augsburg College, and its respective agents, employees and representatives from any responsibility or liability for personal injury, possibility of death, or damage to or loss of property, that I may incur while I am participating in this event.

* I verify that I have no physical disability, impairments or chemical dependencies that might inhibit my participation in Intramural Sport activities.

* I understand that there IS NO medical insurance available for any injury or re-injury that should incur while participating or observing in any of the activities associated with Augsburg College Intramural Sports Department.

* I, the undersigned, am at least 18 years of age, am competent to sign this release, and have read carefully and understand its terms.

*This form must be signed by each individual participant before his/her first regular season game.

*Printed Name

*Date

*Signature

*Sport

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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Augsburg College, a college of the Evangelical Lutheran Church in America, is a member of the Minnesota Intercollegiate Athletic Conference (MIAC) and the National Collegiate Athletic Association (NCAA) Division III.

This is the official web site for Augsburg College athletics.
All comments or questions regarding this web site should be directed to Sports Information Coordinator Don Stoner -- E-mail: stoner@augsburg.edu Phone: (612) 330-1677 .