2017 Jingle Bell Jog Individual Registration
This form is for INDIVIDUAL REGISTRATION only. Please find the team registration form on our website at campusrec.unc.edu/JBJ.

Online registration is open from Wednesday, November 1st to Wednesday, December 6th.
Date: Friday, December 8, 2017
Time: 12:15pm
Location: Student Recreation Center

For additional event details, please visit campusrec.unc.edu/JBJ. We look forward to seeing you there!

First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
What UNC department do you work in? *
Your answer
MEDIA RELEASE *
I hereby grant permission to The University of North Carolina at Chapel Hill to photograph, film, or make an audio recording of my participation in Carolina Campus Recreation events. I grant the University an irrevocable license to reproduce, copy, display, perform, or otherwise use these materials in publications, exhibits, on the internet or on television and to identify me in such materials. I also waive the right to approve the final product.
Required
WAIVER *
I understand and acknowledge the potentially dangerous effects of strenuous physical activity. I further understand and acknowledge that Carolina Campus Recreation recommends that I have a physical examination and consult with my physician before beginning a strenuous exercise program. I acknowledge that I have either had a physical examination and received my physician’s permission to participate or that I have decided to participate in this activity without the approval of my physician. I acknowledge and understand that I am voluntarily participating in this event and that my participation is not required by anyone. I voluntarily assume full responsibility for any risk of loss, damage, or personal injury including death, and for any property damage that may be sustained by me as a result of participation in this activity. I further agree to indemnify and hold harmless the University of North Carolina at Chapel Hill, Carolina Campus Recreation, its employees, and agents from any loss, liability, damage, or cost including court costs and attorney’s fees that may occur due to my participation in this activity.
Required
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