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The University of Michigan requests this information so that the Program staff can properly plan to meet the needs of each participant and, in case of emergency, that we have accurate information to provide and/or seek appropriate treatment for Participant. You are responsible for providing accurate and complete information.
All Participants must have up-to-date immunizations in order to participate in any university-sponsored program.
The University of Michigan does not offer any form of health, liability or other type of insurance for the participant while participating in the Program.
If any required field is not applicable, please type "NONE."