The undersigned, being over the age of 18 years or in the capacity of legal guardian for a person identified below,  does hereby acknowledge that there are risks of physical harm and injury inherent in service activities including  but not limited to, working with people, participating in sports and recreational activities, cleaning and  maintenance projects, preparing and serving food, and other service activities, and in transportation to and from  service work sites. As partial consideration of being allowed to participate in this activity with Central Piedmont  Community College, I hereby assume all risks in the travel activity and connected activities and hereby knowingly  and intentionally waive any and all claims, of whatsoever kind or nature, against such institutions which may arise  out of this activity. I specifically acknowledge that in performing these activities, I am doing so in the status of a  server/volunteer for the community agency, and not a server/volunteer, employee or agent of Central Piedmont  Community College. I further waive any and all claims which may arise from such service activities, acknowledge  that workers compensation benefits are not extended to me in my capacity as a server/volunteer and hold  Central Piedmont Community College harmless from any of my negligent acts.  I specifically grant this waiver of  claims for myself and/or on behalf of my ward identified below and will indemnify and hold harmless such institutions and individuals from any claims.  

Students who register for events through Central Piedmont Community College (CPCC) are responsible for providing their own transportation. The Service-Learning Coordinator(s) responsible for Service in Action events at CPCC will provide transportation options for students who register for these events, when possible. It is the student’s responsibility to request a space in the van upon registration of the Service in Action event. There are only 6 spaces in the van, and these seats are reserved on a first-come, first-serve basis. It is the students’ responsibility to find their own transportation to and from CPCC Central campus, and the van will take them from CPCC to the service site and back to CPCC.  The van departs 15 minutes before the scheduled time for each event and immediately leaves the service site upon completion. Students providing their own transportation to the service sites are responsible for their transportation home upon completion of the event. CPCC staff will not stay with students participating in service projects after the service project ends; each student is responsible for their own health and safety prior to, during, and at the completion of each Service in Action project. Central Piedmont Community College and the Office of Service-Learning does not accept liability or responsibility for any student participating in Service-Learning opportunities.

I hereby grant permission to CPCC and their representatives to take photographs and/or videos of me and to make  recordings of my voice as a participant in college sponsored activities.   I further grant to Central Piedmont Community College and its representatives the right to reproduce, use, exhibit,  display, broadcast, distribute and create derivative (edited and altered) works of these images and recordings in any  media now known or later developed for such purposes and for which the College deems fit.  I acknowledge that Central Piedmont Community College owns all rights to the images and recordings in any  medium. In addition, I waive the right to inspect or approve the finished product, including written or electronic  copy, wherein my likeness appears.   Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph/ video. I hereby hold harmless and release and forever discharge Central Piedmont Community College, its governing  board, officers, agents, employees, and any students acting on behalf of the College from all claims, demands, and  causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my  behalf or on behalf of my estate have or may have by reason of this authorization.  I have read this document before signing below, and I fully understand the contents, meaning and impact of this  consent, waiver, indemnity, release, and covenant not to sue.