HEALTH THROUGH FITNESS IN ORPHAN DISEASES AUTHORIZATION & RELEASEAuthorization & Release • January 23rd, 2012 • Pennsylvania
Contract Type FiledJanuary 23rd, 2012 JurisdictionThe following terms apply to each adult participant in Health Through Fitness in Orphan Diseases activities including participation in TEAM CF, a program conducted and sponsored by Health Through Fitness in Orphan Diseases. Each of the undersigned parent(s) or legal guardian(s) of the minor child named below is entering into this agreement on his or her own behalf and on behalf of the minor child. This agreement covers your participation in all
HEALTH THROUGH FITNESS IN ORPHAN DISEASES AUTHORIZATION & RELEASEAuthorization & Release • January 21st, 2012 • Pennsylvania
Contract Type FiledJanuary 21st, 2012 JurisdictionThe following terms apply to each adult participant in Health Through Fitness in Orphan Diseases activities including participation in TEAM CF, a program conducted and sponsored by Health Through Fitness in Orphan Diseases. This agreement covers your participation in all “Activities” (as defined below) undertaken in calendar year 2012. Please read the terms carefully, complete the enrollment section below, and sign, date, and return the completed form to: