Liability & Risk Assessment In-Take Form (2023-2024)
Please complete this form if your organization would like to request a Waiver of Liability/Notice of Consent for your program/activity. Note: high risk events include events involving minors, vehicle travel with minors, and overnight programs).

Waiver of Liability/Notice of Consent
The UCI Waiver of Liability is designed to protect the University and its employees from legal liability for injuries that may occur to students or other individuals who participate in certain event-related activities on and off the UC Irvine campus. The law regards a waiver of liability, signed prior to participation in a voluntary activity, as a binding agreement by which the participant agrees that a specific entity, e.g. the University and its employees, will not be held liable for any harm or injury that the participant suffers.

A staff member from Campus Organizations & Volunteer Programs (COVP) or Student Outreach and Retention (SOAR) Center will contact you 3-5 business days after submission about your Liability Waiver DRAFT. You will discuss the draft as well as waiver distribution instructions with our staff and Risk Services staff members.

Please submit Liability Waiver Request Form at least 30 days prior to your event date.

Questions? Contact campusorgs@uci.edu or soaring@uci.edu 
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Email *
Section 1: Basic contact information
Registered Campus Organization (RCO) Name (Please spell out, no acronyms) *
Full Name of Point Person / Program Lead *
This should be the main coordinator of this particular program. 
Position/Title of Program Lead/Point person *
Preferred Email Address for Waiver Confirmation *
This email address will receive copies of every completed Waiver of Liability completed by your program participants. 
Are you a SOAR Affiliate and which grant did you apply for? *
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