Combination of District Risk Management form of Registration and Release of Liability and FS 55

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. 
 

Participant fully understands that they are 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.  
 

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.
 

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.
 

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. 
 

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, their 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. 
 

 Assumption of Risk, Release of Liability, and Medical Treatment Authorzation

 

I am requesting voluntary participation in the above mentioned activity. I understand that South Orange County Community College District (District) does not require my participation in this activity, but I choose to do so, despite the possible dangers and inherent risks. I understand that these risks may include personal injury, illness, permanent disability, dismemberment, or even death to myself.

In the event that I am injured or become ill due to my participation in the above mentioned activity, I hereby authorize and consent to x-ray, examination, anesthetic, medical, dental, or surgical diagnosis or treatment, emergency medical treatment, or hospital care from a licensed physician and/or surgeon, as well as emergency transportation as deemed necessary for my safety and welfare. I understand that all resulting expenses will be my responsibility.

I fully understand that I am to abide by all rules and regulations, including but not limited to, District policies and procedures governing conduct during participation in the above mentioned activity.

If I am a student, I shall adhere to Board Policy (BP) and Administrative Regulation (AR) 5401 - Standards of Student Conduct, as well as any applicable Saddleback College/Irvine Valley College Student Codes of Conduct. Any violation of these rules and regulations may result in my dismissal from the activity with any expenses incurred being my responsibility.

I hereby waive any right to inspect or approve the use of any film, images and/or recordings taken during my participation in the above mentioned activity. I give my permission to the District to reproduce, use, exhibit, display, broadcast such film, images, and/or recordings on social media or otherwise. I also waive any right to compensation arising from or related to the use of the images, recordings, or materials.

To the extent permitted by law, I, or my heirs, executors, administrators or assigns shall hold harmless the District, its officers, agents, employees, and volunteers from any and all claims or causes of action, including but not limited to property damage or personal injury, illness, permanent disability, dismemberment, or even death occurring to myself as a result of my sole negligence and willful misconduct.