DUKE CATHOLIC CENTER BEACH WEEKEND REGISTRATION FORM

Beach Weekend: Sept 5-7, 2014
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    DUKE MEDICAL INFORMATION FORM

    PARTICIPANT INFORMATION
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    MEDICAL EMERGENCY CONTACT INFORMATION

    PERSON TO CONTACT FIRST

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    INSURANCE POLICY INFORMATION

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    *Must be signed by parent or guardian if participant is under age 18

    Please check the box to indicate that you have read and electronically sign. We will have a hard copy for you to sign before leaving for the trip. If you are under 18 we will send paperwork to the permanent address for a legal guardian to sign.
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    DUKE UNIVERSITY PARTICIPATION AGREEMENT

    You have requested to participate in Duke Catholic Center’s Annual Beach Weekend from September 5-7, 2014 in Salter Path, NC. All activities, including those associated with travel, involve risks and it is important for you to have information about this activity and to provide the Duke Catholic Center with information about yourself before participating in this activity. The Participation Agreement must be read carefully and signed by all participants who take part in the activity offered by THE DUKE CATHOLIC CENTER.

    PLEASE READ THIS AGREEMENT CAREFULLY

    IT IS A LEGAL CONTRACT AND AFFECTS ANY RIGHTS YOU MAY HAVE IF YOU ARE INJURED OR OTHERWISE SUFFER DAMAGES WHILE PARTICIPATING IN THIS ACTIVITY. There is a checkbox at the end that you must click and date. We will have a hard copy for you to sign before leaving for the trip. If you are under 18 we will send paperwork to the permanent address for a legal guardian to sign.
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