Laserfiche WebLink
Student certifies that he/she is at least eighteen (18) years old and is an adult with full <br />legal authority to execute this release. <br /> <br /> By Signing this Document You Acknowledge That You Have Been Advised That There Are <br />Risks Inherent in this Type of Activity and Have Decided to Assume That Risk and Release the <br />City of and from All Liability. You Agree to Release the City from Any Claims Associated with the <br />Event and That You, Not the City, Are Assuming Complete and Total Responsibility for and Any <br />and All Injuries, Damages or Losses That You May Suffer as a Result of Participating in the <br />Clinical Experience Program. <br /> <br />I agree to all terms set forth above. <br /> <br />Dated: <br /> <br />Signature of Student <br /> <br />Print Name <br /> <br /> <br />