Agreement for Indemnification, Release, and Consent for Emergency TreatmentOctober 1st, 2012FiledOctober 1st, 2012I, (print name), age , desire to participate voluntarily in the above-described activity at the University of Wisconsin–La Crosse.
I, (print name), age , desire to participate voluntarily in the above-described activity at the University of Wisconsin–La Crosse.