Activity Participation Waiver and Release of Liability

Submitted by admin on Thu, 05/15/2025 - 13:14

Please complete this form if you wish to participate in either the 60th Anniversary Alumni Basketball Game, the Color Run/Walk, or both.

Name

Your first and last name.

Date of Birth

The date you were born.

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Your current residence.

Phone

Your phone number.

Confirm email

Your email address.

School/Organization

Your school or organization if applicable.

Age

Adult

(18 or older)

minor

(under 18) Parent/Guardian bust complete Signature Section