Acknowledge and Release Liability Form I acknowledge that there are risks associated with my participation in this activity, including, but not limited to those associated with travel, transportation or vehicular traffic, climate or weather or other natural phenomenon, accident, my own actions or the actions of others. I understand that these risks may result in serious illness, injury or death, and I hereby accept and assume, for myself, all such risks. I am able to participate in the associated activities. In consideration for being allowed to participate in this activity, which I do freely and voluntarily for myself, my executors, administrators, heirs, next of kin, successors and assigns to: 1.Waive, release and discharge from any and all liability Washtenaw Community College, its elected and appointed officials, employees, students, agents, and volunteers for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter occur to me, including as to my traveling to, from, and during this activity/trip. 2. Indemnify and hold harmless Washtenaw Community College, its elected and appointed officials, employees, students, agents, and volunteers from any and all liabilities or claims made by other individuals or entities as a result of or relating to my participation in this activity.I further understand that Washtenaw Community College is not and will not be responsible for any medical costs that may be incurred by me. I authorize Washtenaw Community College staff to seek and obtain medical or surgical services for me during this activity/trip, if required.I understand that by signing this statement, I allow Washtenaw Community College the right to use my photograph in all college publications, including the college web site. *
