Group Registration Form

Liability Waiver & Release

Please review the Privacy and Refund policies before continuing

In consideration for being permitted to participate in the 2021 Dance Marathon on February 5-6, 2021, on behalf of myself, my family, my heirs, and my assigns, I hereby release The University of Iowa; the Board of Regents, State of Iowa; the State of Iowa, and each of their respective employees, agents and representatives (Releasees) from any and all liability for personal injury, including death, or property loss or damage suffered by me as a result of, arising out of, or in any way involving my participation in this activity, except to the extent that such liability results directly from the negligence of the University of Iowa, its agents, or employees.

I acknowledge that I know, understand, and appreciate the inherent risks in participating in Dance Marathon. The risks may include, but are not limited to: trips/falls, debris, or other irregularities on the dancing surface, contact with other participants, cramps, exhaustion, sprains/strains, or other bodily injuries, or death; and damage to or loss of personal property. The risks include exacerbation of pre-existing medical conditions. The University reserves the right to require that I withdraw at any time when in its sole discretion, it has concerns regarding the safety or welfare of myself or others as the result of my continued participation. I agree to assume any and all costs of medical treatment provided to me under the University’s authorization on an emergent basis or on my request in the course of or in connection with the Dance Marathon. By signing this agreement, I fully assume the inherent risks associated with this activity, and assert that I am voluntarily participating in the activity, and I am at least eighteen (18) years of age* and fully competent.

Photo, Video & Audio Release

I grant the University of Iowa, the Center for Advancement, and persons acting for or through them the right to use, reproduce, assign, and/or distribute images, audio and video recordings, and likenesses in any medium whatsoever, of myself, for the purpose of promoting the University of Iowa, the Center for Advancement, or for any other lawful purpose, without payment to me. The University, its successors and assigns shall own all right, title and interest, including the copyright, to any such image, recording, or likeness.

The University of Iowa

I hereby release and hold harmless the University of Iowa; the Board of Regents, State of Iowa; the State of Iowa; the Center for Advancement, as well as each of their respective agents and employees from any and all claims, including but not limited to claims of infringement, damages or remuneration, for invasion of privacy, defamation, or misappropriation, or otherwise arising from such use.

Contact Information

Contact Person

Group's Story

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Donation Page Image

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Profile Image

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