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Community Ed Registration and Release of Liability Form - Approved by District Risk Management 2-14-19

(Student Name)
Community Education Registration and Release of Liability Form

Acknowledgement of Voluntary Participation
Participant voluntarily wishes to participate in the above referenced Saddleback College Community Education class(es) and chooses to do so despite the possible dangers and inherent risks. 
 
Code of Conduct
Participant fully understands that he/she is to abide by all rules and regulations, including and not limited to District policies and procedures governing conduct during participation in the above referenced class(es).  Any violation of these rules and regulations may result in participant’s dismissal from the class with any expenses incurred being participant’s responsibility.  
 
Internet Usage
Participant or Parent/Legal Guardian of Participant understands that South Orange County Community College District, Saddleback College Community Education is not liable for any actions resulting from the misuse of computers.  Any misuse of computers must be reported to the Saddleback College Community Education Manager/Dean.
 
Medical Consent
In the event of an emergency and participant is injured or becomes ill during his/her participation in the above mentioned Community Education class(es), participant or Parent/Legal Guardian of Participant hereby authorizes and consents to x-ray, examination, anesthetic, medical, dental, or surgical diagnosis or treatment, emergency medical treatment, and hospital care from a licensed physician and/or surgeon, as well as emergency transportation as deemed necessary for my safety and welfare.  Participant understands that all resulting expenses will be his/her responsibility.  In addition, participant asks Saddleback College Community Education to call his/her emergency contact listed above.
 
Photograph/Video Release
Participant understands that Saddleback College Community Education may take photographs and/or video of participant during his/her participation in this Community Education class which may be used for the purposes of marketing and/or publicity of the program in print or on any social media platform. 
 
Release of Liability
In consideration of participant’s request for voluntary participation and registration in the above referenced Saddleback College Community Education class(es), and to the extent permitted by law, participant, his/her heirs, executors, administrators or assigns hereby agree to release, defend, indemnify, and hold harmless South Orange County Community College District, its Board of Trustees, officers, agents, employees, and volunteers from any and all claims, action, demands, damages, costs, losses, or expenses, including reasonable attorney’s fees of any kind or nature whether related to bodily injury, property damage, or loss of life, except to the extent that such loss or damage is caused by the negligence act or omission and willful misconduct of South Orange County Community College District, its Board of Trustees, its officers, agents, employees, and volunteers and no negligence on the part of the participant. 
 
PARTICIPANT OR PARENT/LEGAL GUARDIAN OF PARTICIPANT FULLY UNDERSTANDS THE ABOVE TERMS AND THE LEGAL CONSEQUENCES OF SIGNING THIS REGISTRATION AND RELEASE OF LIABILITY FORM.  PARTICIPANT OR PARENT/LEGAL GUARDIAN OF PARTICIPANT SIGNS THIS FREELY AND VOLUNTARILY.