CSUnity Liability Waiver Form

Please complete the CSUnity Liability Waiver Form. Every volunteer in your group needs to complete this prior to participating in CSUnity.

T-shirts will be allocated for groups and volunteers based on the number of waivers completed.  Please make sure to complete this form by March 28th, 2014.  





 



 


 

 

 

 

 








 











 
Description of Activities: Volunteer work with local non-profits, government, civic and community organizations, businesses and local residents as part of CSUnity may include, but not be limited to, the following:
  • Driving and/or being transported to and from the service site
  • General yard work and landscaping
  • Building, grounds, and equipment repair and maintenance
  • Environmental work including trail building, road and waterway cleanup
  • Direct work with clients and work to support the identified mission of agencies and organizations
  • Event support and management
 
I, the undersigned participant, exercising my own free choice to participate voluntarily in the activities described above, promising to take due care during such participation, hereby acknowledge that I have been informed of the nature of activities and that I am aware of the hazards and risks which may be associated with my participation in the above-named activities, including the risks of bodily injury or death, or damage to property which may occur from known or unknown causes. I understand, accept, and assume all such hazards and risks of injury or damage, and waive all claims against the State of Colorado, The Board of Governors of the Colorado State University System, and Colorado State University, and other persons as set forth above. I understand that I am solely responsible for any costs arising out of any bodily injury or property damage that I may sustain through my participation in normal or unusual acts associated with the above-named activities, regardless of whose fault may be the cause of my injuries or damages, EVEN IF CAUSED BY CARELESSNESS OR NEGLIGENCE, so long as the conduct which caused the injuries or damages was not grossly negligent, or willful and wanton.
 
Further, I hereby indemnify and hold harmless The Board of Governors of the Colorado State University System and Colorado State University, and their members, officers, agents, employees, and any other persons or entities acting on their behalf, and the successors and assigns for any and all of the aforementioned persons and entities, against any and all claims, demands, and causes of action whatsoever, whether presently known or unknown, of any person who suffers any injury, disability, death or other harm, to person or property or both, as a result of my participation in and/or presence at the above listed activities.
 
I grant to Colorado State University the right to take photographs and/or video of me in connection with the above-identified event. I authorize Colorado State University, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Colorado State University may use such images and/or likenesses of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
 
I have had sufficient time to review and seek explanation of the provisions contained above, have carefully read them, understand them fully, and agree to be bound by them. After careful deliberation, I voluntarily give my consent and agree to this Release From Responsibility, Assumption of Risk, and Waiver. 

 


 


 
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