Application: 234 Whittemore Hall and 373 Durham Hall
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THIS DOCUMENT MUST BE COMPLETED AND ON FILE WITH THE ECE INTEGRATED DESIGN STUDIO LAB MANAGER PRIOR TO DOING ANY HANDS-ON PROJECT WORK.
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Virginia Polytechnic Institute and State University College of Engineering Students Projects Release, Waive, Indemnification and Project Participation Form

The undersigned participant, and his or her parent or legal guardian if the participant is under the age of 18 years, does/do hereby execute this release, waiver, and indemnification for himself or herself/themselves, and his or her/their heirs, successors, representatives, and assigns and, thereby, agree(s) and represent(s) as follows:
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To release Virginia Polytechnic Institute and State University, its members, employees, agents, representatives, subsidiary corporations, and those governmental agencies and other organizations affiliated with this activity from any and all liability, loss damage, costs, claims, and/or causes of action, including but not limited to all bodily injuries and property damage arising out of participation in the activity, it being specifically understood that said activity includes working in all shop areas and in the indemnify the Virginia Polytechnic Institute and State University, its employees, members agents, hold them harmless for any liability, loss, damage, cost, claim, judgment, or settlement which may be brought or entered against them as a result of the undersigned person's participation and said activity.
This waiver shall remain valid unless expressly revoked by the participant or parent of guardian of a minor. The revocation shall be in writing which shall be delivered to the provider and shall become effective thirty (30) days after delivery to the provider.
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In the case of school-,college-,and university-sponsored classes and program, waivers executive by a participant or parent or guardian of a participant shall apply to all project activities in which the participant is involved unless expressly revoked in writing.
The undersigned understands that the University does not maintain medical or health insurance to cover the risks involving these activities.
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I, the undersigned participant, will wear and use all safety equipment, including safety goggles, fire retardant clothing, helmet, gloves, shoes, and all other necessary equipment during project activities.
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I, the undersigned participant, agree to obey University and Engineering policies regarding student conduct. These policies include: (1) Adhering to  Lab Safety Policies, (2) The Virginia Tech University Policies for Student Life and (3) The University Honor Code. I understand that, by violating these rules, I forfeit my right to participate in student projects at ECE Integrated Design Studio.