Recreational Activities Waiver

NHCC Administration
7411 85th Ave. North
Brooklyn Park, MN 55445
Info@nhcc.edu

NORTH HENNEPIN COMMUNITY COLLEGE RECREATIONAL ACTIVITIES
ASSUMPTION OF RISK, WAIVER OF LIABILITY FOR INJURY
AND COVID-19 EXPOSURE AND ILLESS, INDEMNIFICATION AND RELEASE FOR :

CHAMPLIN PARK TRAVELING BASKETBALL ASSOCIATION

Waiver

By signing this form, I hereby acknowledge that I hold North Hennepin Community College harmless for any injuries, liability, and for any COVID-19 exposure or illness that may occur while on campus. I am at least eighteen (18) years of age. *Parents must sign this waiver for children under eighteen (18) years of age. I further acknowledge that I am giving up substantial legal rights that I might otherwise have and that I have signed this form knowingly and voluntarily.

Name of Team Member

First Name	Last Name
First Name	Last Name

Please enter the names of all team members. Click the "Add Name" button to add additional players. You can add up to a total of five (5) names.

Email Address

Please provide your email address so that a copy of this form can be sent to you.

I understand that my e-signature is my legally binding signature, per Minnesota Statutes, section 325L.07.

Signature

Sign above