The Maricopa Community College District Legal Counsel has requested that we have students sign this release statement prior to participating at service events.
COMMUNITY SERVICE ASSUMPTION OF RISK STATEMENT
The undersigned, being over the age of 18 years or in the capacity of legal guardian for a person identified below, does hereby acknowledge that there are risks of physical harm and injury inherent in service activities including but not limited to, working with people, participating in sports and recreation activities, cleaning and maintenance projects, preparing and serving food, and other service activities, and in transportation to and from service work sites. As partial consideration of being allowed to participate in this activity with Chandler-Gilbert Community College and the Maricopa County Community College District, I hereby assume all risks in the travel activity and connected activities and hereby knowingly and intentionally waive any and all claims, of whatsoever kind or nature, against such institutions which may arise out of this activity. I specifically acknowledge that in performing these activities, I am doing so in the status of a server/volunteer for the community agency, and not a server/volunteer, employee or agent of Chandler-Gilbert Community College or the Maricopa Community College District. I further waive any and all claims which may arise from such service activities, acknowledge that workers compensation benefits are not extended to me in my capacity as a server/volunteer and hold Maricopa Community College District harmless from any of my negligent acts. I further state that I am not in any way an employee of Maricopa County Community College District in any capacity. I specifically grant this waiver of claims for myself and/or on behalf of my ward identified below and will indemnify and hold harmless such institutions and individuals from any claims.
Done on this _______ day of _______________________, 199_____,
on behalf of myself, my heirs, devisees, legatees, and estate,
(and on behalf of my legal ward named ______________________________).
______________________________ Signature
______________________________ Printed Name
(info to be added)
