Thank you for volunteering to participate in Macomb Community College’s MLK Jr. Day of Service. Please complete the following information to finalize your registration.

How would you like to participate? (check only 1)
Your Information
MLK Day packets are available in the Student Life and Leadership Office starting Monday, January 9th. Which campus would you like to pick up your packet from?
A confirmation will be emailed to this address.
(xxx) xxx-xxxx
(Please provide a number where you can be reached the day of the event if needed.)
(MM/DD/YY)
(xxx) xxx-xxxx
PLEASE PROVIDE INFORMATION FOR ADDITIONAL REGISTRANTS

Registrant #2
Registrant #3
Registrant #4
Release Waivers
In consideration of Participant being permitted to participate in the Macomb Community College Program(s) named above, I, Participant/Participant's Parent or Guardian, hereby release, discharge and covenant not to sue Macomb Community College, its trustees, officers, agents and employees from all liability for any and all claims, damages, costs or causes of action I/we have or may in the future have as a result of injuries (including death) or damage to property sustained or incurred by Participant while in any way participating in the above Program(s).

PHOTO RELEASE: The undersigned do hereby give Macomb College, its assigns, licensees and legal representative the irrevocable right to use their name (or fictional name), picture, portrait, or photograph in all forms and media and in all manners, including composite or distorted representations, for advertising, trade or any other lawful purposed, and waive any right to inspect or approve the finished product, including written copy that may be created in connection therewith.
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