Program Waiver of Liability, Assumption of Risk, and Indemnity Agreement
UNIVERSITY OF CALIFORNIA, SAN DIEGO
International Center Volunteer Programs

Name of Class or Activity: Thanksgiving Exchange Program (Host Family or International Guest)


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Waiver of Liability, Assumption of Risk, and Indemnity Agreement
Waiver: In consideration of being permitted to participate in any way in the activity listed above, 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.
Please type your name below, understanding that it is legally equivalent to your signature and constitutes your certification that you have read and understood the paragraph above. *
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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.

Please type your name below, understanding that it is legally equivalent to your signature and constitutes acknowledgement that you have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that you are giving up substantial rights, including your right to sue.   You acknowledge that you are signing the agreement freely and voluntarily, and intend by your signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. *
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