Volunteer Appointment Form (Page 3 of 4) in pdf

Participant's Name:

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UNIVERSITY OF CALIFORNIA, SAN DIEGO

California Collaborative Fisheries Research Program (CCFRP)

Waiver of Liability, Assumption of Risk, and Indemnity Agreement

Waiver: In consideration of being permitted to participate in any way in

/ 2014 through

/ 2014)

CCFRP (

hereinafter called "The Activity", I, for myself, my heirs, personal representatives or assigns,

do hereby release, waive, discharge, and covenant not to sue The Regents of the

University of California, its officers, employees, and agents from liability from any and all

claims including the negligence of The Regents of the University of California, its officers,

employees and agents, resulting in personal injury, accidents or illnesses (including death),

and property loss arising from, but not limited to, participation in The Activity.

Signature of Parent or Guardian of Minor

Date

Signature of Participant

Date

Assumption of Risks: Participation in The Activity carries with it certain inherent risks that

cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary

from one activity to another, but the risks range from 1) minor injuries such as scratches,

bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries,

heart attacks, and concussions to 3) catastrophic injuries including paralysis and death.

I have read the previous paragraphs and I know, understand, and appreciate these

and other risks that are inherent in The Activity. I hereby assert that my participation is

voluntary and that I knowingly assume all such risks.

Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD The Regents of

the University of California HARMLESS from any and all claims, actions, suits, procedures,

costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my

involvement in The Activity and to reimburse them for any such expenses incurred.

Severability: The undersigned further expressly agrees that the foregoing waiver and

assumption of risks agreement is intended to be as broad and inclusive as is permitted by

the law of the State of California and that if any portion thereof is held invalid, it is agreed

that the balance shall, notwithstanding, continue in full legal force and effect.

Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk,

and indemnity agreement, fully understand its terms, and understand that I am giving up

substantial rights, including my right to sue. I acknowledge that I am signing the

agreement freely and voluntarily, and intend by my signature to be a complete and

unconditional release of all liability to the greatest extent allowed by law.

Signature of Parent or Guardian of Minor

Date

Signature of Participant

Date

Participant’s Age (if minor)

Volunteer Appointment Form Page 3

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