Differences
This shows you the differences between two versions of the page.
|
liability_release [2012/05/20 14:36] tim created |
liability_release [2017/04/05 00:38] |
||
|---|---|---|---|
| Line 1: | Line 1: | ||
| - | 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. | ||
| - | |||
| - | Initials: ________ | ||
| - | |||
| - | 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. | ||
| - | |||
| - | 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. | ||