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Release of Liability

In consideration of my participation in the Southeast Community College (SCC) STAR Wellness Program, I hereby release SCC, its officers, agents, employees and Board of Governors, and any other persons associated with the SCC program, from any and all liability for damages of any kind, which might occur while I am participating in STAR Wellness.  I am aware of the risks of participating, and I understand and agree that my participation is strictly voluntary, and I freely choose to participate.  I understand that SCC provides no specific medical coverage for participation in this program, and that I would be responsible for any costs I incur as a result of participation in the STAR Wellness Program.

Print Name_________________________________________________

Date: _____________________________________________________

Signature__________________________________________________


Release of Liability

Release of Liability Form (rtf download)

Proceed to Equal Opportunity

 

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