Dukes from the Last Decade

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HIDDEN: Registrant Number *Fields marked with an asterisk () are required.** First Name* Preferred First Name Last Name* Maiden Name Please note that a birthdate is required for record matching purposes. If you do not know the birthdate for a member of your party, please contact (412) 396-6209 for registration assistance: Birthdate* Birthdate* Email Address* Phone Number* Please check all of your Duquesne affiliations.* Please check all of your Duquesne affiliations.* Alumni Young Alumnus/a (DU Graduate of the last 10 years) 1st Guest of Young Alumnus/a Additional Guest of Young Alumnus/a Previous DFLD Awardee Current Employee Current Parent Current Student Past Parent Prospective Parent Prospective Student Friend No Affiliation Thank you for bringing a guest to Dukes from the Last Decade. Your first guest will receive a discounted rate. Use the code below to apply your discount to the final registration. You will only receive one discounted guest per registration. Code: YAGUEST Preferred Class Year:* Please check preferred school.* Please check preferred school.* Palumbo-Donahue School of Business School of Education John G. Rangos, Sr. School of Health Sciences Thomas R. Kline School of Law of Duquesne University McAnulty College and Graduate School of Liberal Arts College of Osteopathic Medicine Mary Pappert School of Music School of Nursing School of Pharmacy School of Science and Engineering Please select any dietary restrictions we should be made aware of: Please select any dietary restrictions we should be made aware of: Vegetarian Vegan Gluten Free Dairy Free Peanut Allergy Tree Nut Allergy Shell Fish Allergy Other If other, please explain. Please indicate any mobility needs: Fee for General Attendee Fee for YA Fee for YA Guest Fee for Previous DFLD Awardee

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Discount Code for 1st Guest of Young Alumnus/a

Event Waiver and Release*

Review

I understand that there are risks to which I may be exposed by participating in this event (the “Activity”). Such risks include physical and emotional injury, illness, potential exposure to viruses and bacteria, hospitalization, and death or damage to me, to property, or to others. I further understand that the University cannot guarantee that participants in the Activity will not contract transmittable diseases. I appreciate the character of the risk taken and voluntarily assume all risk of harm. Therefore, I agree to assume and take on myself all of the risks and responsibilities in any way associated with my participation in the Activity. I release, acquit and forever discharge the University and its employees, agents, members, officers, directors, students and representatives (the “University Releasees” in their official and individual capacities) from any and all liability whatsoever for any and all damages, losses or injuries (including death, mental anguish or emotional distress) to persons and/or property, including but not limited to any claims, demands, actions, causes of action, damages, costs, expenses (including hospital and medical expenses or deductibles) and/or attorney’s fees, that occur during, result from, arise out of or relate to my participation in the Activity. I recognize that this Release means I am giving up, among other things, rights to sue the University Releasees for injuries, damages or losses I may incur. I also understand, and agree, that this Release binds my heirs, executors, administrators, successors, assigns and personal representatives, as well as myself.

I have read this entire waiver and release. I fully understand its terms and provisions, and by clicking submit, I knowingly and voluntarily agree to be bound by it.

I understand that there are risks to which I may be exposed by participating in this event (the “Activity”). Such risks include physical and emotional injury, illness, potential exposure to viruses and bacteria, hospitalization, and death or damage to me, to property, or to others. I further understand that the University cannot guarantee that participants in the Activity will not contract transmittable diseases. I appreciate the character of the risk taken and voluntarily assume all risk of harm. Therefore, I agree to assume and take on myself all of the risks and responsibilities in any way associated with my participation in the Activity. I release, acquit and forever discharge the University and its employees, agents, members, officers, directors, students and representatives (the “University Releasees” in their official and individual capacities) from any and all liability whatsoever for any and all damages, losses or injuries (including death, mental anguish or emotional distress) to persons and/or property, including but not limited to any claims, demands, actions, causes of action, damages, costs, expenses (including hospital and medical expenses or deductibles) and/or attorney’s fees, that occur during, result from, arise out of or relate to my participation in the Activity. I recognize that this Release means I am giving up, among other things, rights to sue the University Releasees for injuries, damages or losses I may incur. I also understand, and agree, that this Release binds my heirs, executors, administrators, successors, assigns and personal representatives, as well as myself.

I have read this entire waiver and release. I fully understand its terms and provisions, and by clicking submit, I knowingly and voluntarily agree to be bound by it.

Yes

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