Radford University Selu Conservancy
Waiver of Liability and Release
Participant Signature at the end of this Registration Form indicates that you have read and agree to the following Waiver of Liability and Release.
Please read this document carefully.
I, (this Registrant), hereby acknowledge that voluntary participation in Selu Scenery: Plein Air Worksop located at the Selu Conservancy on 07/22/23 involves potential risk of personal injury and the undersigned assumes all such risk. The undersigned hereby agrees that for and in consideration of Radford University (RU) allowing the undersigned to participate in this activity which or in connection with which RU has made has made available any funding, equipment, facilities or personnel for such [event], the undersigned does hereby release and forever discharge RU and its agents, officers, and employees any claims, demands, rights of any kinds of an and all known or unknown, foreseen and unforeseen, bodily and personal injuries, damage to property, and the consequences thereof, resulting in or my connection with [event].
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*This portion for office use:
Group Organizer's Name: Theresa Rykaczewski
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Signature
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Parent Guardian Signature (if participant is under 18 years of age)
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