Release, Waiver of Liability,
and Covenant Not to Sue
READ CAREFULLY BEFORE SIGNING
- I understand that my participation
in The Honors Interdisciplinary Summer Field Program of the University
of Georgia, during the summer of 2008, may involve
personal injury or damage to my personal property. It is possible
that injuries could be serious and could even prove to be fatal.
Examples of risks that I could encounter include motor vehicle
accidents, falls while hiking, falling rocks, and exposure to
severe weather conditions. There may be other risks that are
not foreseeable.
- For the sole consideration of
the University of Georgia's arranging for my participation in
The Honors Interdisciplinary Field Program, 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 and causes of action of whatever kind, arising
from or by reason of any personal injury, property damage, or
the consequences thereof, resulting from or in any way connected
with my participation in The Honors Interdisciplinary Field Program.
- I understand that the acceptance
of the Release, Waiver of Liability, and Covenant Not to Sue
by the Board of Regents of the University System of Georgia shall
not constitute a waiver, in whole or in part, of sovereign immunity
by said Board, its members, officers, agents, and employees.
- I am at least 18 years of age
(or, if I am below 18, my parents of legal guardian has completed
the supplementary portion of this form) and I am suffering under
no legal disability. I have read and understood the above material.
Signed on the ________ day of
______________________, 20__.
_______________________________________
Signature of Participant
Printed Name: _______________________
Address: ____________________________
____________________________
_______________________________________
Signature of Witness (Notarization
not required)
To be completed in addition to
the above if the participant is less than 18 years of age;
I am the parent or legal guardian
of the above person, who is participating in The Honors Interdisciplinary
Field Program of the University of Georgia with my full knowledge
and consent. I have read and understood all of the preceding material,
including any supplementary explanatory material provided to the
participant, and agree to the conditions outlined in this material
and on this form.
_______________________________________
Signature
Printed Name: _________________________
Address: ______________________________
______________________________