Fitness & Recreation Centers at the University of California, San Francisco
Activity, Program, Session, Lesson and/or Trip:
Waiver:
In consideration of being permitted to participate in any way in any activity, program, session, lesson and/or trip named
above, indicated on the reverse side of or attached to this document, hereinafter called "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 illness (including
death) and property loss arising from, but not limited to, participation in the "Activity."
Assumption of Risks: Participation in the "Activity" carries with it certain inherent risk 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 to 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 understand the words and language in them. I have been advised of the potential
dangers incidental to receiving instruction and participating in the "Activity." I know, understand and appreciate these and other
risks are inherent in the "Activity." I hereby assert that my participation is voluntary and 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 fees brought as a result
of my involvement in the "Activity," and to reimburse them for any such expense 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.
Acknowledgement of Understanding: I have read this waiver of liability, assumption of risks and indemnity agreement, fully
understand its terms, and understand that I am giving up substantial rights, including my right to sue. I understand and
agree that if I am signing this waiver of liability, assumption of risks and indemnity agreement on behalf of a minor child, I am
giving up substantial rights for said minor child, 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.
Photo Release: I hereby grant the University of California, San Francisco to take and use my and/or my minor child's photograph
on its world wide web or in other of!cial University printed publications without further consideration and I acknowledge the University's right to crop or treat the photograph at its discretion. I also acknowledge that the University may not choose to use
said photos at this time but may do so at its own discretion at a later date.