UCLA Waiver

UNIVERSITY OF CALIFORNIA, LOS ANGELES

ASSOCIATED STUDENTS UCLA

PEDIATRIC AIDS COALITION AT UCLA
WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

WAIVER: In consideration of being permitted to participate in any way in the Pediatric AIDS Coalition’s Dance Marathon. Hereinafter called the Pediatric AIDS Coalition’s Dance Marathon. 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, the Associated Students UCLA, and their officers, employees, and agents from liability FROM ANY AND ALL CLAIMS INCLUDING THE NEGLIGENCE OF THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, THE ASSOCIATED STUDENTS UCLA, AND THEIR 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 Pediatric AIDS Coalition’s Dance Marathon.

ASSUMPTION OF RISKS: Participation in the Pediatric AIDS Coalition’s Dance Marathon 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 Pediatric AIDS Coalition’s Dance Marathon. 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 and the Associated Students UCLA 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 Pediatric AIDS Coalition’s Dance Marathon 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.

ACKNOWLEDGEMENT 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.

PEDIATRIC AIDS COALITION AT UCLA
Media Release

1. I hereby authorize the Pediatric AIDS Coalition to photograph me, take motion pictures of me, take video footage of me, and/or make electronic sound recordings of me (herein referred to as photographic or electronic reproductions).
2. I authorize the use of any such photographic or electronic reproductions of me for any purpose, including but not limited to educational and other public media as may be deemed appropriate by the Pediatric AIDS Coalition (I understand that I may be identifiable from such photographic or electronic reproduction).