2019 AOASM Walk/Run Fundraiser: TEAM VIENNA 4 SUDC
Please complete the form below to submit your waiver for the 2019 AOASM Walk/Run Fundraiser Event on Thursday, May 2, from 5:45 p.m. - 7:45 p.m. starting at the AT&T Executive Education and Conference Center, with the walk/run around the perimeter of the University of Texas at Austin campus.
Email address *
First Name *
Your answer
Last Name *
Your answer
Cell Phone Number *
Your answer
What type of warrior are you? *
Gender *
Age Category *
I attest and verify that I have full knowledge of the risks involved in this walk/run, and that I should not enter unless I am medically able and properly trained. I hereby, for myself, my heirs, my executor, and anyone entitled to act on my behalf, waive any and all rights and all claims for damages I may have against the American Osteopathic Academy of Sports Medicine (AOASM), City of Austin, The University of Austin at Texas, and its agents, employees, commissioners, volunteers, staff, and any sponsors of this event their representatives, successors, and assigns for any and all injured suffered by me and/or the loss of damage to any personal property owned by me in said event. I also give permission to the AOASM for the free use of my name and picture in any accounts of this event for legitimate purposes. *
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