Waiver Adult Step #3 Name* First Last Email* Media ReleaseSay Cheese!*I agree that images and audio taken during Northland College activities through video and photos may be used and distributed for publication as deemed appropriate by Northland College without any limitation in space or time, and waives any rights of compensation or ownership thereto. YesNoDietary RequirementsPlease check the box that reflects your needs.*Please take the time to provide us with any other necessary information I have no dietary restrictions. I have dietary restrictions listed below. I am a vegetarian. I am a vegan. I am allergic to the following foods:Other dietary restrictions and things we should know:Assumption of Risk, Waiver of Liability, & Agreement not to SueParticipating in Northland College programs may require being engaged in outdoor activities. Consequently, the participant might be exposed to certain risks due to the activities involved, unpredictable weather conditions, natural hazards, or human hazards. Participation in the program is entirely voluntary and involves a risk of injury and/or illness due to certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries, such as, but not limited to, contact with other individuals engaged in program activities, impact against objects, broken or improperly used equipment, weather hazards, environmental hazards, falls, falling objects, and separation from the group. The specific risks vary from minor injuries, scratches, and sprains, to major injuries such as broken bones to catastrophic injuries. To minimize the risk of injury, the staff needs to be aware of any existing physical, mental, or emotional conditions the participant may have that could in any negative way affect, or be affected by, participation in the activity. By signing this form you voluntarily agree to the following: Too assume full responsibility for any risks or loss, or personal injury, including death and damage to property that may be sustained by participating in the program; and To release, waive, hold harmless, discharge it from any and all liability, and agree not to sue the person or entity responsible for administering the program, Northland College, or its trustees, officers, employees, participants, staff, volunteers, and any other persons affiliated with the program, as well as their successors from all claims, losses, damages, and causes of action whatsoever, present or future, whether known, anticipated, or unanticipated arising out of, or incident to the participation in the program. This release is intended to be the most expansive release allowed under the applicable law. If any part of this release is deemed invalid, illegal or unenforceable in any respect, the enforceability of the remainder of this release and agreement will continue in full force and effect. I understand that by agreeing to this clause I am releasing claims and giving up substantial rights, including the right to sue. Understanding and Assumption of Risk* I have read the above. Acknowledgement*By entering your full name in this field you are agreeing that you have read and accept the conditions of Northland College's Assumption of Risk, Waiver of Liability, and Agreement not to Sue.Date* MM DD YYYY Complete Step 3Hitting "submit" will send your release and waiver form to us and complete the registration process.NameThis field is for validation purposes and should be left unchanged.