BMUN Malta
Please read carefully before signing.

In consideration for my participation and the participation of my child in BMUN Malta to be operated by the Berkeley Model United Nations Secretariat, Inc., a California non-profit corporation, I agree to:
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Waiver of Liability, Assumption of Risk, and Indemnity Agreement
In consideration of being permitted to participate in any way in BMUN Malta hereinafter called “The Activity,” I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Berkeley Model United Nations, its officers and members; and The Regents of the University of California, its officers, employees, and agents from liability from any and all claims, including negligence, that result in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in The Activity.

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 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. Berkeley Model United Nations and the organizers of BMUN Malta are NOT responsible for any personal harm and injury sustained by a participant in The Activity. Drugs and Alcohol are prohibited throughout the entirety of the event.

Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD the Berkeley Model United Nations, and 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.

Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
Assignment of Photographic, Motion Picture, Video, and Sound Recording Rights
I, hereby authorize THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (the “University”) and its officers, agents, and employees, to photograph, record, film, or videotape me. I understand that any photograph, sound recording, motion picture, or video taken of me under this assignment is for the purpose of collecting and/or representing factual information in the interest of serving the University of California’s mission of research, education, and public service, and for promoting the public good. I hereby assign to the University all rights, title, and interest, including copyright, in and to any and all such photographs, sound recordings, motion pictures, or videos, and I hereby irrevocably authorize the University, its officers, agents, and employees, without limitation, to reproduce, copy, sell, exhibit, publish, or distribute, in any medium now known or later developed, any and all such photographs, sound recordings, motion pictures, or videos in perpetuity for the purposes expressed above. I further release and forever discharge the University, its officers, agents, and employees from any and all claims and demands arising out of or in connection with the use of said photographs, sound recordings, motion pictures, or videos, including but not limited to any and all claims for invasion of privacy, defamation, or infringement of copyright. I have read and understood the provisions of this agreement, and understand that I am free to obtain advice from legal counsel of my choice, at my expense, to interpret these provisions. By signing below, I acknowledge that I have freely and voluntarily entered into this agreement.
Delegate Signature (Print Name) *
Delegate School *
Parent/Guardian Signature (Print Name) *
Date *
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Emergency Contact Name *
Emergency Contact Phone Number *
If your delegate has a medical problem or is taking medication that would be important for us to be aware of, please indicate here:
Please let any dietary restrictions here:
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