Name *

First Name

Last Name

Work Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Membership Type *

Institutional

Associate

KASRO Hold Harmless Agreement *

By signing below Individual member, Associate Member, or Friend of Kentucky Association of Student Receivable Officers (KASRO) hereby agrees to indemnify and hold harmless the Commonwealth, its agents, officers, employees and the organization KASRO and its officers from any and all claims demands, damages, actions and costs to which Individual member, Associate Member, or Friend of KASRO may have to pay, by reason of injury to any person or property, of loss of life or property resulting from or in any way connected with alcohol consumption by KASRO individual member, Associate Member, or Friend of KASRO during 2024 Spring Conference held at the University of Kentucky in Lexington, KY.

I agree to the KASRO Hold Harmless Agreement

I disagree to the KASRO Hold Harmless Agreement

Bluegrass Brewing Company After Hours Social

After Hours Social

First Name

Last Name

Attendance *

I will attend the After Hours Social

I will not be attending the After Hours Social