PDF AOR 102 - Xavier University 2026

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  1. Click ‘Get Form’ to open the PDF AOR 102 in the editor.
  2. Begin by entering your name and Banner ID clearly in the designated fields at the top of the form.
  3. Select your role from the options provided: Xavier Student, Employee, or Faculty Member.
  4. Fill in details about the activity, program, event, or trip you are participating in, along with its location and date(s).
  5. Carefully read through each section of the Assumption of Risk and Release Agreement. Initial where indicated if you are traveling alone.
  6. Complete the Emergency Contact Information section by providing names, relationships, addresses, and phone numbers for two contacts.
  7. Review your health history information and ensure it is accurately reflected as required for participation.
  8. Sign and date the form at the bottom. If under 18, ensure a parent or guardian also signs in their designated area.

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