FNCE Event Liability Waiver
Name
*
First Name
Last Name
Email
*
example@example.com
Date
*
-
Month
-
Day
Year
Date
Which FNCE event(s) do you plan to attend?
*
DIFM Rhythm and Boots Member Reception
Sunrise Stretch & Social with Diabetes & CV-Well DPGs
HEN Farm Tour
FCP Networking Event-Peg Leg Porker
CV-Well Heartbeats and High Notes Reception
I acknowledge that my participation in the Academy event(s) listed above may involve a risk of injury, including bodily injury, and assume the risk for same. On my own behalf and on behalf of my heirs and legal representatives and to the fullest extent permitted by law, I hereby release and discharge the Academy of Nutrition and Dietetics of and from any and all liability for injury, death, or damages and/or any other claims, demands, losses or damages, incurred by me in connect with any aspect of the above listed event(s).
*
Yes
Submit
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