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Liability Waiver Form
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CSU Serves Liability Waiver Form
Participant's Full Name
Date of Birth
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Address
Date of Service Activity
Registered Student Organization that you are volunteering as a part of?
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Please select...
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Description of Activities:
Volunteer work with local non-profits, government, civic and community organizations, businesses and local residents as part of CSU Serves may include, but not be limited to, the following:
Driving 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 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.
I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE TERMS ON THIS DATE
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