Release Of Liability Form Page 2

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If Participant is under 18 years of age:
I am the parent or legal guardian of the Participant. I have read this two-page document, and I am signing
it freely. I understand the legal consequences of signing this document, including (a) release of University
from all liability on my and the Participant’s behalf, (b) waiver of my and the Participants’ right to sue, (c)
and assumption of all risks of the Participant’s participation in this Activity, including travel to and from the
Activity. I allow Participant to participate in this Activity. I understand that I am responsible for the
obligations and acts of Participant as described in this document. I agree to be bound by the terms of this
document.
__________ _________________________________
Signature of Minor Participant’s Parent/Guardian Date
____________________________________________
Minor Participant’s Name
Complete Internship description:
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