Differences
This shows you the differences between two versions of the page.
| Both sides previous revisionPrevious revisionNext revision | Previous revision | ||
| liability_release [2012/05/20 14:37] – tim | liability_release [2017/04/05 00:38] (current) – external edit 127.0.0.1 | ||
|---|---|---|---|
| Line 1: | Line 1: | ||
| - | ---- | + | This is a work in progress: https:// |
| - | Between _________________________ (print your first and last name) and Lansing Makers Network, NFP, [insert address here] (" | + | |
| - | 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. |
| + | Permission granted: | ||
| + | > Sure, no worries. | ||
| + | > Michael V. Galella | ||
| - | I understand that I am responsible for properly monitoring and labeling anything I bring to LMN and that LMN is not responsible | + | * 2013-04-06: Draft sent to insurance folks for input. |
| - | + | ||
| - | 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. | + | |