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{{option.reg_closed_message}} {{ 'REG-OPEN-EARLY' | translate:option}} {{ 'REG-OPEN' | translate:option}} Early Registration for Life Time Members available on {{option.early_opening_date}}. Early Life Time Registration available. Enter your Life Time Fitness Membership ID to unlock this Early Registration. You can find this 9-digit # on the back of your Membership Card by the barcode. Life Time Membership ID:

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2016 Crawford Global Day of Service October 15, 2016 Liability Release Form

Please sign this Release and provide to your local Service Ambassador/Coordinator. INFORMED CONSENT, RELEASE AND WAIVER I hereby request and consent to participate in 2016 Crawford Global Day of Service on October 15, 2016 ("Activity"). I understand and acknowledge that my participation in the Activity may involve physical activities that pose possible risks and dangers to my person and property. I also acknowledge that my participation in this Activity is completely voluntary and that my participation in this Activity shall not be considered within the scope and course of my employment for any reason. I understand, agree and acknowledge that my participation in this Activity shall be undertaken at my sole risk, and I agree to release, discharge, indemnify and hold harmless Crawford & Company (“Crawford”), its affiliated companies and their respective directors, officers, employees and/or agents from and against any losses, costs, claims, liabilities, injuries or damages whatsoever which I may incur arising out of or connected with my participation in this Activity. I hereby grant Crawford permission to use my likeness and/or name in any photograph, image, video, motion picture, performance or sound recording (collectively “Likeness”) during and post-termination of my employment with Crawford, for purposes related to Crawford’s publications, including newsletters and marketing materials or for any other commercial or lawful purpose, without payment or any other consideration.
MINORS - PERSONS UNDER THE AGE OF 18 YEARS I, the minor signed below, have read or had my parent or legal guardian read this entire release and I clearly understand what it means. MINOR'S SIGNATURE: DATE: I, as parent or legal guardian of the above signed minor, understand the risks of participating in the event and give the minor permission to engage in such activities. To the fullest extent permitted by law, I hereby voluntarily release and forever discharge Crawford & Company, and their officers, employees, shareholders, and affiliated companies from any and all liability resulting from any injury, illness, death or damage to property which may result from such activities. PARENT/LEGAL GUARDIAN: DATE:

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Are you a current Response Team 1 client?

Yes

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