Participant's name: _ Please Print UNIVERSITY OF CALIFORNIA, RIVERSIDE Waiver of Liability, Assumption of Risk, and Indemnity Agreement College Prep Academy-MDTP Assessment University of California, Riverside (Saturday, June 4, 2016) Waiver: In consideration of being permitted to participate in any way in College Prep Academy MDTP Assessment hereinafter called "The Activity", I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue The Regents of the University of California, its officers, employees, and agents from liability from any and all claims including the negligence of The Regents of the University of California, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in The Activity. Return Completed Forms to the EAOP office no later than Friday Via Mail or Hand Delivered Early Academic Outreach Program University of California, Riverside 1228 Student Services Building 900 University Ave. Fill out the forms completely with necessary information and signatures:ģ.
There is only 1 Medical Authorization Form. The second Waiver of Liability Form is for College Prep Academy activities taking place July 11-22. The first Waiver of Liability Form is for the MDTP Assessment date on Saturday, June 4. Note: There are 2 Waiver of Liability forms. Print out the Waiver of Liability and Medical Release Forms attached to this document (pages 3-7). Waiver of Liability Form Spanish (College Prep Academy): Pg.7ĬOLLEGE PREP ACADEMY 2016 Instructions for Completing Registration: 1. Waiver of Liability Form (College Prep Academy): Pg.6 Waiver of Liability Form Spanish (MDTP Assessment) : Pg. Waiver of Liability Form (MDTP Assessment): Pg.3 Instructions for Completing Registration: Pg.
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