(Please complete one form for each event/activity that you plan to attend.)

Terms of Service:

I am aware of the risks associated with attending the event on this date. I agree not to hold accountable or bring legal action against Virginia Society of Healthcare Engineers (VSHE), their officers, agents, or volunteers. This waiver releases the organization from all liability and I assume all risks and expenses resulting from an injury that may occur as a result of the activity.

I am not aware of any injury, illness, or other health related issue that would restrict or limit my ability to participate in the event. I will make every effort to adhere to all safety rules & precautions.

By completing and submitting this form I agree to hold the Virginia Society of Healthcare Engineers (VSHE) free from any liability, including financial responsibility if injury occurred, regardless of the reasons or circumstances.