REGISTRATION

I wish to register for the session listed below.  I understand that if my registration is accepted
and I later elect not to participate, I have denied another student or employee of AUB the opportunity
to participate. All information must be complete for registration to be valid.  Thank you.
                                                                       

Registering for:  

Name:         ID#:

Local Telephone Number:                 

Email Address:                          

You are a:        Student              Employee           Alumnus              Other 

You are a:        Male                   Female  

The session of instruction is limited to the first 20 registrants. If you do not hear back from the
University Sports Office within 72 hours of registering, consider yourself enrolled in the course.

By submitting this registration to participate in the above activity at the CHSC, I do hereby
declare that I have decided to participate with  full knowledge that injury may be sustained
during participation.  I therefore hereby exonerate the AUB from any and all liability and
damage of whatsoever nature direct or indirect that may arise to or to my heirs as a result
of joining the Center and further undertake to keep the AUB harmless from any claims that
may be lodged against the University, its Board members, its Officers and its Staff by third
parties as a result of my participation.