club sports
20
14
-20
15
Dear Visiting Team:
NC State University would like to welcome you to the Raleigh area. We have designed this visiting team guide to provide you with useful information about our facilities and the area. One important item, if you are playing at NC State’s campus please have your team fill out the visiting team waiver located at the end of the guide.
University Recreation works hard to ensure the safety of our participants. If at any time during your stay in Ra-leigh someone gets injured or is in danger please contact the proper authorities. If you have any suggestions about how we could improve your visit and participation with University Recreation at NC State please contact us. Thank you for coming to Raleigh and enjoy your stay. Good Luck.
Sincerely,NC State University Recreation
welcomeVISITING TEAM GUIDE
Mary YemmaAssistant Director Competitive SportsNC State UniversityBachelor of Science in Business Manage-ment, 2003Master of Parks, Recreation and Tourism Management, 2006
Ben StrunkCoordinator Competitive SportsOhio UniversityBachelor of Science is Journalism and Sport Management, 2012University of FloridaMaster of Sport Mangement, 2014
Dan PayneCoordinator Competitive SportsFlorida State UniversityBachelor of Science Physical Education, 2007University of IowaMaster of Arts Recreation and Sport Man-agement, 2010
competitive sportsNC STATE UNIVERSITY
Program Assistants• Josh Batman• Dustin Champion• J’Kwan Fogg• Chris Jones• Zach Mehlenbacher• Leslie Oman
Supervisors• Gideon Akinsola• Carter Askew• Logan Austin• Jared Bundick• Rachel Cox• Tatiana DeBerry• Kiersten Fisher• Ben Garnett• Laura Gigliotti• Alison Glaster
• Justin Hall• Tyalor Haynes• Javion Henderson• Adam Hockaday• Alex Hurdle• Stephanie Igo• Erin Jones• Tamika Jones• Adam Lipay• Harrison Luttman• Mackenzie Macksood
• Evan McNeill• Erin Murray• Jimmy Naughton• Ian Phillips• Landon Poole• Christian Sullivan• Logan Valentine• Ronald Weiss• Chris West
university recreationVISITING TEAM GUIDE
The mission of University Recreation is to provide quality, innovative and inclusive collegiate recreation pro-grams, services and facilities that inspire healthy, active lifestyles with a commitment to excellence, learning and student success.
HistoryJohn F. Miller established the NC State University Intramural Athletics program in 1924 to provide students, faculty and staff with organized recreational opportunities. In 1982, the name was changed to Intramural Recreational Sports but the programs continued to be operated by the Physical Education Department. As the program grew and recreation became more popular on campus, Intramural Recreational Sports became a separate department in 2002, and renamed the Department of Campus Recreation. Campus Recreation and Carmichael Complex merged in 2010 to streamline operations and was renamed University Recreation.
People• 31 professional and support staff• 600+ student staff, making University Recreation the largest employer of students on campus
Participation• University Recreation had a total of 1,069,428 visits in 2013-2014• 65% of student users are at or above a 3.0 GPA• 1,769 unique students participated in Club Sports for a total of 50,000 practice hours
Important NumbersMember Services Suite, 919.515.7529
Facility Hours Hotline: 919.515.7488Equipment Room: 919.515.3508
Mailing AddressUniversity Recreation
Carmichael Gym - Room 10002611 Cates AvenueRaleigh, NC 27695
[email protected]@ncsu.edu
NC State University Recreation
https://www.youtube.com/user/NCSURecreation2013
ncsurecreation
club sports
Club EmailAikido [email protected] Girl Cheerleading [email protected] Dance [email protected] [email protected] (M) [email protected] (W) [email protected] Fishing [email protected] [email protected] Country & Track [email protected] [email protected] [email protected] Dressage [email protected] Hunt Seat [email protected] Western [email protected] [email protected] Hockey [email protected] [email protected] [email protected] Hockey [email protected] (M) [email protected] (W) [email protected] Arts [email protected] [email protected] [email protected] [email protected] (M) [email protected] (W) [email protected] [email protected] [email protected] & Snowboard [email protected]
NC STATE UNIVERSITY
club sportsSoccer (M) [email protected] (W) [email protected] [email protected] [email protected] [email protected] [email protected] (M) [email protected] (W) [email protected] (M) [email protected] (W) [email protected] Polo [email protected] Ski & Wakeboard [email protected]
VISITING TEAM GUIDE
Carmichael GymBuilt in 1961 to provide an area for Physical Education and recreation for NC State students, faculty, and staff. An addition was built in 1987 to create a total of 345,329 sq ft of recreation space.• 11 Indoor basketball courts (converts to volleyball and badminton courts)• Weight and Cardio Rooms• Men’s and Women’s Locker Rooms• 2 Multipurpose Studios• Dance Studio• 17 Racquetball Courts• Indoor Track• 6 Squash/Multipurpose Courts• Rock Wall• 2 TRX Training Rooms• 2 Personal Training Rooms• Sauna and Steam Room• Equipment Room• Classrooms• 12 Lighted tennis courts• 8 Outdoor Lighted Basketball Courts• Outdoor putting green• Bouldering wall
Recreation Center• Weight and Cardio Room• 3 Group Fitness Studios• Cycling Studio• Outdoor Adventures Office and Equipment Rental• Fitness Suite - Message Therapy and Personal Training
Aquatic Center• 25 Yd Pool• 50m Pool• Sundeck• Wet classroom
Outdoor Spaces• Miller Field, 8 acres of lighted field space• Method Road Fields, 4 acres of lighted field space• Centennial Fields, 2 - 2.5 acre playing fields• 4 Outdoor Basketball Courts• 12 Tennis Courts
recreation facilitiesNC STATE UNIVERSITY
hotelsRaleighDoubleTree by Hilton Raleigh Brownstone1707 Hillsborough Street, Raleigh, NC 27605 | 919.828.0811
The DoubleTree by Hilton Raleigh Brownstone - University is conveniently located in Downtown Raleigh, North Carolina. The hotel sits just 3 blocks from NC State University, all the shopping and restaurants you could want at Cameron Village and the gorgeous new Pullen park with rides, food, fun and even a swim center for all ages. If you are coming into town to visit places such as the Raleigh Convention Center, the Downtown Business District, the NC State Capital Building and State Government complexes or any of the three Downtown Muse-ums, all of these are a quick 1.25 miles from the hotel. If a weekend getaway and the Raleigh nightlife are what brings you to town, rest assured that our hotel is ideally located just .75 mile from the Glenwood South Restau-rant and Nightlife District and just a few blocks from all that Hillsborough Street has to offer.
Holiday Inn & Express3741 Thistledown Drive, Raleigh, NC 27606 | 919.854.0001
One of the best things about staying with us is that we’re just a few miles from NC State. The hotel’s accommo-dations provide a perfect location for Wolfpack fans and for those attending a concert or athletic event at the PNC Center or the Time Warner Cable Pavilion. Additional hotel amenities, like our indoor, heated swimming pool, whirlpool and Fitness Center, make your stay more enjoyable. Be sure to fill up on sausage, bacon, eggs and our signature cinnamon rolls at the complimentary Express Start Breakfast while you watch one of the 52-inch cable TVs in the Great Room.
CaryHoliday Inn & Suites5630 Dillard Drive, Cary, NC 27511 | 919.851.1220Breakfast: Monday-Friday 6am-10am, Saturday and Sunday 7am-11amwww.holidayinn.com/raleigh/cary
The Holiday Inn Cary is a full service hotel, with a restaurant on site that serves breakfast and dinner also offers room service, Indoor pool and fitness facility, a full hot breakfast included in your rate.Beautiful lounge with a business center available. Free high speed wireless internet. Meeting space available for over 75 people. Please inquire about our Suites. Newly remodeled rooms…….visit our website! Located less than 1 mile from hundreds of shops, restaurants and cinemas.
Best Western1722 Walnut Street, Cary, NC 27511 | 919.481.1200www.bestwestern.com/caryinnsuites
This hotel includes a continental plus breakfast with the rate, free high speed wireless internet offered. Out-door pool on premise, business center on site. Free access to local gym across the street. Newly remodeled rooms….visit our Website! Located less than 1 mile from hundreds of shops, restaurants and cinemas.
VISITING TEAM GUIDE
HospitalsRex Hospital4420 Lake Boone TrailRaleigh, NC 27607919.783.3100Emergency Room 919.783.3038
• From Carmichael Gym take Western Blvd. to Blue Ridge Road. Turn left on Blue Ridge Road and follow it to Lake Boone Trail. Hospital is on your left.
• Or from I-40, take the Wade Ave. exit. Take the Blue Ridge Rd. exit and turn left onto Blue Ridge Rd. The hospital is one mile down on the right.
Raleigh Community Hospital3400 Wake Forest RoadRaleigh, NC919.954.3000• From Carmichael Gym take Western Blvd. to I-440 North (Exit 10-Wake Forest Road). Follow the signs to
the hospital.
Western Wake Medical Center1900 Kildaire Farm RdCary, NC 27511-6616 919.350.2300• From Carmichael Gym go on Avent Ferry towards Gorman Street intersection. At this intersection turn
Left. Go all the way down Gorman Street and turn Right onto Tryon Road. Go all the down Tryon Road to Kildaire Farm Road and hospital is on the right.
Urgent CareRex Urgent Care3100 Blue Ridge Road, Suite 103Raleigh, NC919.719.2250
PharmaciesKerr Drugs2233 Avent Ferry Road, Suite 133Raleigh, NC 27606-2138919.833.5531
Eckerd Drugs3520 Wade AveRaleigh, NC 27607-4048 919.832.3749
hospitals & med centersNC STATE UNIVERSITY
restaurantsSit Down RestaurantsSammy’s Grill2235 Avent Ferry RdRaleigh, NC 27606919.755.3880www.sammysncsu.com
2 Guys Pizza2504 Hillsborough StreetRaleigh, NC 27607919.832.2324
Ruckus Pizza2233-112 Avent Ferry RdRaleigh, NC 27606919.835.2002www.ruckuspizza.com
Backyard Bistro1235 Hurricane Alley WayRaleigh, NC 27607919.851.6203backyardbistro.com
Cueva de Lobos3227 Avent Ferry RoadRaleigh, NC 27606919.854.9600thecuevadelobos.com
Amedeo’s Italian3905 Western BlvdRaleigh, NC 27606919.851.0473
Carolina Ale House2240 Walnut St Cary, NC 27511 919.854.9444
Applebee’s3625 Hillsborough StRaleigh, NC 27607919.832.3811
Fast Food RestaurantsSubway3940 Western BlvdRaleigh, NC 27606919.828.6518
Bruegger’s Bagels Bakery2231 Avent Ferry RdRaleigh, NC 27606919.821.9979
Jimmy Johns2316 Hillsborough StRaleigh, NC 27607919.828.3278
Wendy’s3715 Western BlvdRaleigh, NC 27606919.821.3099
McDonald’s3710 Western BlvdRaleigh, NC 27606919.833.7882
Bojangles’3808 Western BlvdRaleigh, NC 27606919.664.8613
Burger King2241 Avent Ferry RdRaleigh, NC 27606919.829.1908
Breakfast RestaurantsIHOP1313 Hillsborough StRaleigh, NC 27605919.821.2242
Waffle House3909 Hillsborough StRaleigh, NC 27607919.833.1247
Ice Cream RestaurantsCold Stone Creamery325 Crossroads BlvdCary, NC 27511919.858.7754
Ben and Jerry’s3801 Hillsborough StRaleigh, NC 27607919.417.8931
Baskin-Robins20018 Cameron StRaleigh, NC 27605919.828.1493
CoffeeCup A Joe3100 Hillsborough StRaleigh, NC 27606919.828.9665
Starbucks501 Oberlin RdRaleigh, NC 27605919.856.9444
Global Village Organic2428 Hillsborough StRaleigh, NC 27606919.828.4567
VISITING TEAM GUIDE
local attractions
Arena’s & TheatersPNC Arena1400 Edwards Mill RoadRaleigh, NC 27607919.861.2323http://www.rbc-center.com/
Lincoln Theater126 E Cabarrus StRaleigh, NC 27601919.821.4111http://www.lincholntheatre.com
Durham Performing Arts Center123 Vivian StDurham, NC 27701http://www.dpacnc.com/
The Ritz-Raleigh Theater2820 Industrial DrRaleigh, NC 27609919.836.8535
Time Warner Cable Pavillon3801 Rock Quarry RdRaleigh, NC 27610919.831.6400http://www.livenation.com/Time-Warner-Cable-Music-Pavilion-at-Walnut-Creek-tickets-Raleigh/ven-ue/114763
Movie Theaters & BowlingMission Valley Cinemas2109 Avent Ferry RdRaleigh, NC 27606919.834.8520
Carmike Blue Ridge Cinema 14600 Blue Ridge RdRaleigh, NC 27606919.645.1111
Raleigh Grande Cinema4840 Grove Barton RdRaleigh, NC 27613
IMAX Theater-Exploris201 E Hargett StRaleigh, NC 27601919.834.4040
Western Lanes Bowling Center2512 Hillsborough StRaleigh, NC 27607919.832.3533
AMF Bowling Center1827 Capital BlvdRaleigh, NC 27604919.832.3747
Shopping CentersCrabtree Valley Mall4325 Glenwood AveRaleigh, NC 27612919.787.2506
Cary Towne Center1105 Walnut StCary, NC 27511919.467.0145
Crossroads213 Crossroads Blvd Cary, NC 27518919.233.0185
Streets at Southpoint6910 Fayetteville RdDurham, NC 27713919.572.8808
Triangle Town Center5959 Triangle Town Blvd Raleigh, NC 27616919.792.2136
North Hills Mall4300 Six Forks RdRaleigh, NC 27609919.833.7755
NC STATE UNIVERSITY
driving directionsVISITING TEAM GUIDE
From EastTake I-40 West to Exit 295-Gorman Street. Turn left onto Gorman Street to Avent Ferry Road. Turn Right onto Avent Ferry until the Western Blvd. Intersection. Go Straight through the stoplight. This road becomes Morrill Drive.
From Greenville AreaTake US 64 West to US 264 West toward Raleigh. Merge onto I-440 Inner Beltline. Take I-440 to Exit 295-Gor-man Street. Turn right onto Gorman Street to Avent Ferry Road. Turn Right onto Avent Ferry until the Western Blvd. Intersection. Go straight through the stoplight. This road becomes Morrill Drive.
From WestTake I-40 East to Exit 295-Gorman Street. Turn Right onto Gorman Street to Avent Ferry Road. Turn Right onto Avent Ferry until the Western Blvd. Intersection. Go straight through the stoplight. This road becomes Morrill Drive.
From CharlotteTake I-85 North towards Greensboro. I-85 will merge with I-40. Take I-40 East towards Raleigh to Exit 295-Gor-man Street. Turn Right onto Gorman Street to Avent Ferry Road. Turn Right onto Avent Ferry until the West-ern Blvd. Intersection. Go straight through the stoplight. This road becomes Morrill Drive.
facility mapsNC STATE UNIVERSITY
1
2
3
3
2
1
4
4
5
5
Parking, Method Road (upper)
Parking, Method Road (lower)
Parking, Coliseum Deck
Parking, Rec Center
Parking, Student Health
Cl
ub S
port
s Vi
siti
ng T
eam
par
tici
pant
Wai
ver
RISK
S, H
AZAR
DS, A
ND
PHYS
ICAL
STR
ESSE
SEv
ery
activ
ity th
at o
ne e
ngag
es in
has
cer
tain
risk
s and
haz
ards
ass
ocia
ted
with
it. T
he fo
llow
ing
is a
list o
f risk
s, h
azar
ds, a
nd p
hysic
al st
ress
es a
ssoc
iate
d w
ith th
e Cl
ub S
port
s di
visio
n in
whi
ch y
ou h
ave
chos
en to
par
ticip
ate.
The
list
is n
ot in
tend
ed to
be
all-i
nclu
sive:
exc
lusio
n of
a h
azar
d or
risk
doe
s not
neg
ate
its p
ossib
ility
. Lo
ss o
f vis
ion
as a
resu
lt of
bei
ng st
ruck
with
a b
all -
Thi
s haz
ard
can
be re
duce
d by
wea
ring
prot
ectiv
e ey
e gu
ards
or o
ther
pro
tecti
ve e
quip
men
t.1.
Co
ncus
sion
, nec
k/sp
inal
trau
ma,
bro
ken
bone
s, lo
ss o
f tee
th, o
r oth
er in
jury
as a
resu
lt of
bod
y or
obj
ect c
onta
ct -
This
haza
rd m
ay b
e re
duce
d by
wea
ring
appr
opria
te
prot
ectiv
e eq
uipm
ent a
nd m
aint
aini
ng a
dequ
ate
dist
ance
bet
wee
n yo
urse
lf an
d ot
her p
laye
rs, e
spec
ially
whe
n pl
ayin
g do
uble
s, d
urin
g te
am p
lay,
or w
hile
par
ticip
ating
in
a le
sson
or c
linic
. 2.
De
ath
or v
ario
us in
jurie
s as a
resu
lt of
a tr
affic
acci
dent
whe
n tr
avel
ing
for a
clu
b ac
tivity
- Th
is ha
zard
can
be
redu
ced
by fo
llow
ing
traffi
c la
ws a
nd p
rope
r driv
ing
prac
tices
or i
nsisti
ng th
at y
our d
river
do
the
sam
e.
3.
Deat
h or
var
ious
inju
ries a
s a re
sult
of w
eath
er c
ondi
tions
- i.e
., lig
htni
ng, h
ail,
win
d - T
his h
azar
d ca
n be
redu
ced
by st
oppi
ng th
e ac
tivity
and
taki
ng p
rope
r car
e w
hen
a st
orm
app
ears
like
ly.
4.
Dehy
drati
on -
This
haza
rd c
an b
e re
duce
d by
con
sum
ption
of l
iqui
ds d
urin
g br
eaks
in p
lay
or a
ctivi
ty.
Heat
stro
ke -
This
haza
rd c
an b
e re
duce
d by
not
pla
ying
or
redu
cing
you
r lev
el o
f exe
rtion
dur
ing
hot w
eath
er.
5.
Mus
cle
pulls
, cra
mps
, spr
ains
, str
ains
, cut
s, b
ruis
es o
r oth
er in
jurie
s dur
ing
norm
al a
ctivi
ty –
Thi
s haz
ard
can
be re
duce
d by
pro
per c
ondi
tioni
ng, b
y w
arm
ing
up a
nd
stre
tchi
ng (s
tatic
) prio
r to
play
, by
prop
er e
xecu
tion
of st
roke
s/sk
ills,
by
usin
g ap
prop
riate
foot
wea
r, &
by
not p
layi
ng o
n w
et o
r slip
pery
surf
aces
.6.
De
ath
due
to c
ardi
ovas
cula
r com
plic
ation
as a
resu
lt of
phy
sica
l ove
r-ex
ertio
n - T
his h
azar
d ca
n be
redu
ced
by n
ot e
ating
imm
edia
tely
bef
ore
parti
cipa
tion,
by
prop
er
cond
ition
ing,
by
reco
gnizi
ng si
gns o
f fati
gue,
and
by
reac
ting
resp
onsib
ly to
the
vario
us w
arni
ng si
gns o
f car
diov
ascu
lar d
istre
ss.
VISI
TIN
G P
ARTI
CIPA
NT
RESP
ON
SIBI
LITI
ESEa
ch p
artic
ipan
t rec
ogni
zes t
hat e
ach
pers
on m
ust a
lway
s be
resp
onsib
le fo
r his/
her o
wn
wel
l-bei
ng a
nd th
e w
ellb
eing
of t
he g
roup
he/
she
is a
part
. Eac
h pa
rtici
pant
shar
es w
ith
the
othe
r par
ticip
ants
the
conc
erns
and
resp
onsib
ilitie
s of s
afet
y an
d ag
rees
to fo
llow
safe
pro
cedu
res a
nd to
avo
id u
nnec
essa
ry, h
azar
dous
situ
ation
s, w
heth
er o
r not
thos
e sit
uatio
ns h
ave
been
spec
ified
. Eac
h pa
rtici
pant
acc
epts
resp
onsib
ility
for t
he o
utco
me
of si
tuati
ons r
esul
ting
whe
n hi
s/he
r acti
ons a
re b
eyon
d th
e ge
nera
lly a
ccep
ted
prac
tices
fo
r saf
ety
in th
e ac
tivity
, suc
h as
use
of a
lcoh
ol p
rior t
o or
dur
ing
club
par
ticip
ation
. Lik
ewise
, eac
h cl
ub p
artic
ipan
t acc
epts
resp
onsib
ility
for a
ction
s tha
t are
out
side
the
boun
ds
of p
ublic
law,
such
as u
se o
r pos
sess
ion
of il
lega
l dru
gs.
1.
Mem
bers
of v
isitin
g te
ams f
rom
oth
er c
olle
ges,
uni
vers
ities
, or o
utsid
e or
gani
zatio
ns w
hose
acti
vitie
s tak
e pl
ace
on th
e ca
mpu
s of N
orth
Car
olin
a St
ate
Uni
vers
ity a
re
resp
onsib
le fo
r car
ryin
g so
me
form
of h
ealth
insu
ranc
e.2.
Pa
rtici
pant
s are
resp
onsib
le fo
r the
ir ow
n m
edic
al c
are
& d
o no
t hav
e ac
cess
to v
arsit
y at
hleti
c tr
aine
rs.
3.
Parti
cipa
nts a
re re
spon
sible
for d
iscus
sing
with
the
Stud
ent H
ealth
Ser
vice
med
ical
staff
or w
ith th
eir f
amily
doc
tor a
ny k
now
n ph
ysic
al p
robl
ems w
hich
may
lim
it pa
rtici
patio
n in
this
prog
ram
. Thi
s con
sulta
tion
shou
ld ta
ke p
lace
prio
r to
parti
cipa
tion.
4.
Parti
cipa
nts s
houl
d w
ear p
rope
r dre
ss a
nd a
ppro
pria
te p
rote
ctive
equ
ipm
ent.
If th
e pa
rtici
pant
cho
oses
not
to u
se p
rope
r dre
ss a
nd/o
r pro
tecti
ve e
quip
men
t, th
e pa
rtici
pant
mus
t rea
lize
that
he/
she
is do
ing
so a
t his/
her o
wn
risk.
5.
The
inju
red
part
y is
resp
onsib
le fo
r all
finan
cial
obl
igati
ons i
ncur
red
in a
ny tr
eatm
ent n
eces
sitat
ed b
y an
inju
ry.
6.
Parti
cipa
nts a
re re
spon
sible
for p
rope
r con
ditio
ning
as a
pre
requ
isite
for p
artic
ipati
on.
Shou
ld y
ou h
ave
any
ques
tions
rega
rdin
g th
is do
cum
ent,
plea
se c
onta
ct th
e As
sista
nt D
irect
or-C
lub
Spor
ts in
Roo
m 1
000,
Car
mic
hael
Gym
nasiu
m. M
y sig
natu
re b
elow
indi
cate
s th
at I
am a
n in
vite
d gu
est;
or a
n in
vite
d m
embe
r of a
visi
ting
team
from
ano
ther
col
lege
, uni
vers
ity, o
r an
outs
ide
orga
niza
tion.
Fur
ther
, my
signa
ture
bel
ow in
dica
tes t
hat I
hav
e re
ad a
ll of
the
abov
e m
ater
ial a
nd fu
lly u
nder
stan
d th
e RI
SKS,
HAZ
ARDS
, AN
D PH
YSIC
AL S
TRES
SES
and
VISI
TIN
G TE
AM P
ARTI
CIPA
NT
RESP
ON
SIBI
LITI
ES a
s the
y ap
ply
to th
is ac
tivity
.
I hav
e re
ad th
e st
atem
ent o
f risk
s, h
azar
ds, a
nd p
hysic
al st
ress
es to
whi
ch I
will
exp
ose
mys
elf b
y pa
rtici
patin
g in
this
club
spor
ts a
ctivi
ty. I
und
erst
and
the
risks
of m
y pa
rtici
patio
n
and
have
car
eful
ly c
onsid
ered
thos
e ris
ks. F
urth
er, I
und
erst
and
the
resp
onsib
ilitie
s tha
t I h
ave
as a
visi
ting
team
par
ticip
ant a
nd c
ertif
y th
at I
mee
t the
requ
irem
ents
as s
tate
d on
this
Club
Spo
rts V
isitin
g Te
am P
artic
ipan
t Wai
ver.
In c
onsid
erati
on o
f the
righ
t to
parti
cipa
te in
this
prog
ram
, and
furt
her c
onsid
erati
on o
f Nor
th C
arol
ina
Stat
e U
nive
rsity
’s ob
tain
ing
rele
ases
for m
y pr
otec
tion
from
oth
er c
lub
parti
cipa
nts i
n su
ch p
rogr
am, I
do
here
by re
leas
e N
orth
Car
olin
a St
ate
Uni
vers
ity, i
ts T
rust
ees,
offi
cers
, offi
cial
s, a
gent
s,
empl
oyee
s, a
nd a
ll pe
rson
s par
ticip
ating
in su
ch p
rogr
am fr
om a
ny re
spon
sibili
ty o
r lia
bilit
y fo
r per
sona
l inj
ury
or p
rope
rty
dam
age
sust
aine
d by
me
durin
g or
bec
ause
of
parti
cipa
ting
in th
e ac
tiviti
es o
f the
org
aniza
tion
show
n ab
ove.
If t
he u
nder
signe
d is
a m
inor
, the
n th
e sig
natu
re o
f a p
aren
t or g
uard
ian
appe
arin
g in
the
spac
e in
dica
ted
belo
w si
gnifi
es a
ccep
tanc
e by
said
par
ent o
r gua
rdia
n th
at th
e te
rms a
nd c
ondi
tions
her
eof s
hall
be b
indi
ng u
pon
them
and
shal
l con
stitu
te a
rele
ase
by th
em o
f any
and
all
clai
ms,
dem
ands
and
cau
ses o
f acti
on, w
hats
oeve
r, w
hich
they
may
hav
e ag
ains
t Nor
th C
arol
ina
Stat
e U
nive
rsity
, its
Tru
stee
s, o
ffice
rs, o
ffici
als,
age
nts,
em
ploy
ees,
or p
erso
ns
parti
cipa
ting
in su
ch p
rogr
am a
s a re
sult
of th
e un
ders
igne
d cl
ub m
embe
r’s p
artic
ipati
on in
the
activ
ities
des
crib
ed.
The
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Clu
b
Fr
om _
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____
____
_(vi
sitin
g te
am)
O
n __
____
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__, 2
0___
_
Nam
e (la
st, fi
rst)
ple
ase
prin
t leg
ibly
Sign
atur
eM
/FAg
eIf
Und
er 1
8, G
uard
ian
Sign
atur
ePh
one
# Em
erge
ncy
Cont
act
Nam
e &
pho
ne #
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