Liability Waiver - DOC by jqlq3K


									                                  Harvard Pre-Medical Society
                                    LIABILITY WAIVER

Organization: Harvard Pre-Medical Society

Program: HPS Mentoring Program

Name of Participant: ______________________

I, the undersigned, agree to release and hold harmless the Harvard University, its faculty, and
students; Harvard Pre-Medical Society, its employees, members, and officers; and any physician,
clinic, hospital, and their respective staff from any and all liability for any damage, loss, expense,
or injury that may incur throughout my participation in this program.

___________________________________                    _________________
Signature                                              Date

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