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liability_release [2012/05/20 14:37] tim |
liability_release [2012/09/24 01:22] zik |
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- | ---- | + | This is a work in progress: https://docs.google.com/document/d/1NZ1hstPjHj8TA4NiU9cXVM58bsLfflWyo_JgxvNHyZs/edit |
- | Between _________________________ (print your first and last name) and Lansing Makers Network, NFP, [insert address here] ("LMN"). | + | |
- | By signing this statement, I acknowledge that LMN is a dangerous place and I agree to HOLD HARMLESS LMN, its officers, and its directors. | + | Based on a form from the Michigan State University John & Marnie Demmer Shooting Sports Education & Training Center with additions from the i3detroit form. |
- | Initials: ________ | + | Sent email to demmer@msu.edu requesting permission to copy their form. |
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- | I understand that I am responsible for properly monitoring and labeling anything I bring to LMN and that LMN is not responsible for any lost, damaged, or stolen property. | + | |
- | + | ||
- | Initials: ________ | + | |
- | + | ||
- | I affirm that I am 18 years of age or older, and that I am mentally competent to sign this release. | + | |
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- | Initials: ________ | + | |
- | + | ||
- | Name: ___________________________________________________ | + | |
- | Address: ___________________________________________________ | + | |
- | Phone number: ___________________________________________________ | + | |
- | Email address: ___________________________________________________ | + | |
- | Emergency contact name: ___________________________________________________ | + | |
- | Emergency contact phone: ___________________________________________________ | + | |
- | Emergency contact relationship: ___________________________________________________ | + | |
- | + | ||
- | Signature: ___________________________________________________ | + | |
- | Date: ___________________________________________________ | + | |
- | ---- | + | |
- | Based on a form used by i3Detroit. | + |