Volunteer Release Form printable pdf download

Volunteer Release Form

I, _________________________________, understand and agree that university-related activities of

Texas Tech University involve certain known risks, including but not limited to, transportation accidents,

personal injuries, and loss or destruction of my property. I understand and agree that Texas Tech

University cannot be expected to control all of said risks. In consideration of the benefits I will receive

through my participation in the activities of Texas Tech University, I hereby expressly and knowingly

RELEASE TEXAS TECH UNIVERSITY, ITS OFFICERS, AGENTS, VOLUNTEERS, AND

EMPLOYEES FROM ANY AND ALL CLAIMS AND CAUSES OF ACTION I MAY HAVE FOR

PROPERTY DAMAGE, PERSONAL INJURY OR DEATH SUSTAINED BY ME ARISING OUT

OF ANY TRAVEL OR ACTIVITY CONDUCTED BY, OR UNDER THE AUSPICES OF TEXAS

TECH UNIVERSITY, WHETHER CAUSED BY MY OWN NEGLIGENCE OR THE

NEGLIGENCE OF TEXAS TECH UNIVERSITY, ITS OFFICERS, AGENTS, VOLUNTEERS,

OR EMPLOYEES.

I hereby give my consent for any medical treatment that may be required during my participation with the

understanding that the cost of any such treatment will be my responsibility .

Further, I voluntarily and knowingly agree to HOLD HARMLESS, PROTECT, AND

INDEMNIFY Texas Tech University, its officers, agents, volunteers, and employees, against and

from any and all claims, demands, or causes of action for property damage, personal injury or

death, including defense costs and attorney’s fees, arising out of my participation in the activities of

Texas Tech University, REGARDLESS OF WHETHER SUCH DAMAGES, INJURY OR DEATH

ARE CAUSED BY MY OWN NEGLIGENCE, OR BY THE NEGLIGENCE OF TEXAS TECH

UNIVERSITY, ITS OFFICERS, AGENTS, VOLUNTEERS, OR EMPLOYEES.

Texas Tech University shall notify me promptly in writing of any claim or action brought against it in

connection with my participation in these activities. Upon such notification, I, or my representative, shall

promptly take over and defend any such claim or action.

I HAVE READ AND UNDERSTOOD THIS DOCUMENT, AND MY SIGNATURE EVIDENCES MY

INTENT TO BE BOUND BY ITS TERMS.

SIGNATURE: _____________________________________ DATE: ___________________________

(PARTICIPANT)

If the participant is under 18, I am signing as a parent or guardian to reflect my agreement to indemnify

(that is, protect by payment or reimbursement) Texas Tech University from any claim which may be

brought by or on behalf of the participant, or any member of the participant’s family, for injury or loss

resulting from those inherent risks of the course, described above, and from the negligence of the

participant or Texas Tech University.

SIGNATURE: _____________________________________ DATE: ___________________________

(PARENT OR GUARDIAN)

Attachment C

OP 70.21

10/6/11

Volunteer Release Form