I understand the potential health dangers associated with vigorous exercise and hereby assume all risk of injury which may be associated with participation in the 1996 Spring Fling. I waive any and all claims, and release, absolve and indemnify the University administration and HEELS for health staff for any injury I may sustain while participating in the event. I further agree to obey all pedestrian traffic laws (i.e., remain on the sidewalk, stop at all red lights, cross at crosswalks, wait for oncoming traffic to pass, etc.) and release from responsibility the Town of Chapel Hill and all of its officers and agents, and the University of North Carolina at Chapel Hill and all of its officers and agents.
Full name (please print): _______________________________________________________________________________<> Department: __________________________________________ CB#: _______________ Phone: ___________________
Walker: ___________ Runner: ____________
Signature: ___________________________________________________________________________________________
Teams/departments, complete the following:
Team/department name: ______________________________________________________________________________
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