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New Visions Gallery Bus Trip Sign-Up

Milwaukee Art Museum - Degas To Picasso

January 19, 2018 departing from Marshfield Clinic Marshfield Center

Full name

Email address

Phone number

Lunch Choice

$35 payment can be mailed or made in person to:
Marshfield Clinic - Attn: New Visions Gallery
1000 N. Oak Avenue, Marshfield, WI 54459

Payment must be received by December 30, 2017 to reserve your spot.

I understand and acknowledge that participation in this event is voluntary. In consideration of my participation, I hereby release, hold harmless and indemnify Marshfield Clinic Health System, Inc. and its officers, directors, affiliates, employees, insurers, agents, successors and assigns from and against all liability regardless of the negligence of any of the parties mentioned in this paragraph

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