I hereby acknowledge my awareness that my participation in the Field Day with the KUSA, VSA, AASA, and FSA on May 1, 2022 may expose me to risk of property damage, bodily or personal injury, including death. I understand that my participation will consist of activities which may include, but are not limited to, the following: driving a vehicle to transport other Program participants and/or materials, riding in a van to and from Athens, GA, staying with the entire group throughout the entirety of the activity (not separating from the group), interacting with other students from around the region, sporting competitions, participating in group activities, participating in cultural exploration activities, and other impromptu activities. I understand that the risks that I may encounter include, but are not limited to: transportation accidents; injury from falls; inclement weather; injury from animal or insect bites; food poisoning or food allergies; cuts; drowning; burns; abrasions and puncture wounds; broken bones; muscle strains and sprains; and exposure to contagious diseases which may cause death, as well as other risks that may not be foreseeable. I have been informed and understand that there are inherent risks and dangers involved in this activity. I knowingly and freely assume any and all such risks and voluntarily participate in this activity. In addition, I understand that none of the following entities provide insurance coverage for my participation in Field Day with International Student Life: the International Student Life Office, the University of Georgia, or the Board of Regents of the University of Georgia. I also understand that it is highly recommended that I obtain my own health insurance. In exchange for the use of equipment, materials, and supplies, and for being allowed to participate in the event, I hereby release and forever discharge the University of Georgia, the Board of Regents of the University System of Georgia, their members individually and their officers, agents, and employees from any and all claims, demands, rights, expenses, actions, and causes of action, of whatever kind, arising from or by reason of any personal injury, bodily injury, property damage, or the consequences thereof, whether foreseeable or not, resulting from or in any way connected with my participation in this activity. I further covenant and agree that for the consideration stated above, I will hold forever harmless and will not take legal action against the University of Georgia, the Board of Regents of the University System of Georgia, its members individually, and their officers, agents, and employees for any claim for damages arising or growing out of my participation in this activity whether caused by negligence or otherwise.I consent to and authorize the use by the Board of Regents of the University System of Georgia by and on behalf of the University of Georgia, its officers and employees (University), or my image, voice and/or likeness for any and all purposes through any media now and in the future.I hereby waive the right to inspect or approve my image or any finished materials that incorporate my image. I understand and agree that my image will become part of the University’s photograph file and that it may be distributed to other organizations or individuals for use in publication. I also understand that I will receive no compensation in connection with the use of my image.I certify that I am at least 18 years of age OR that my parent/legal guardian has also signed below because I am under 18 years of age. This consent is given freely and voluntarily by the undersigned without coercion, duress, threat or promise of any kind. I certify that I understand and have read the above carefully before signing. I understand that I am not subject to any adverse action if I do not sign. *
