Get Gettysburg College Indemnity Release And Waiver Form

Completing the Gettysburg College Indemnity Release and Waiver Form online is a straightforward process that ensures your participation in the Experiential Education programs is secure. This guide provides clear, step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete the form online.

1. Use the 'Get Form' button to access the Gettysburg College Indemnity Release and Waiver Form and open it in your preferred editor.
2. Begin by filling in your personal details, including your last name, first name, middle initial, and birth date, ensuring accuracy for identification purposes.
3. Identify your emergency contact by providing their name and phone number. This information is vital in case of an emergency during the program.
4. Indicate whether you have health insurance by selecting 'Yes' or 'No.' If you have health insurance, fill in the health insurance company name and their phone number.
5. List the name of the insured, the policy number, and the address of the insured, ensuring this information matches your insurance documents.
6. Rate your current level of physical activity by checking the appropriate boxes for activities such as walking, jogging, cycling, and swimming. Specify how many times per week you engage in each activity.
7. Provide information regarding any pre-existing conditions by checking 'Current,' 'Past,' or 'N/A' next to the medical conditions listed.
8. Explain any illnesses or medical conditions for which you are currently being treated. Include the condition name, year diagnosed, and treatment or reaction.
9. List any operations or hospitalizations you have had in the past year along with the reasons and dates.
10. Document any medications you are currently taking, including the name of medication, dose, frequency, and reason for the medication.
11. Answer the question regarding physician consultation about your participation in the program and provide their recommendation if applicable.
12. Sign and date the verification of accuracy and consent sections, confirming that all information provided is complete and truthful.
13. If you are under 18, ensure a parent or legal guardian signs the consent for medical treatment section.
14. After completing all sections, review your entries for accuracy. Once confirmed, save your completed form, download, print it, or share it as required.

Complete the Gettysburg College Indemnity Release and Waiver Form online today to ensure your participation in the program!