Information and instructions for Participation Agreement –
Waiver and Release for student clubs and organizations.
Read this document before using the attached sample
waiver and release.
waiver and release
Note: Waivers do not guarantee protection from legal
liability, but are considered a good practice when holding an event.
Participation Agreement -- Waiver and Release
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Participation Agreement – Waiver and Release(
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PARTICIPATION AGREEMENT
WAIVER AND RELEASE
I _____________________ (participant) am participating in ____________________________
(event) on ___________________ (date) sponsored/ organized by
______________________________ (student club/ organization). I understand that
participating in this event may be physically demanding, even to persons in excellent physical
condition, and that my participation may lead to physical injury or death, or property damage or
loss. Understanding the potential risks inherent to my participation, I assume sole and full
responsibility for my personal safety and for any loss or damage to my property during
participation in the event.
In consideration for being allowed to participate in the event listed, above, I agree as follows:
1. I will comply with all instruction and directions of __________________________
(student club/ organization) officers, members, and volunteers in connection with
participation in the event.
2. I understand the possible risks and dangers to me and my life and property associated
with my participation in the event, and I participate voluntarily, in reliance upon my
own judgment and ability. I assume all risk of personal injury, death, and
property damage or loss from any cause whatsoever, including, but not limited to,
my own conduct, the failure of anyone to enforce rules and regulations or inspect
equipment or facilities, and the negligence of anyone else; and
3. I release and indemnify, defend, and hold harmless
_____________________________ (student club/ organization) and its officers,
members, and volunteers from all liabilities, losses, costs, damages, claims or causes
of action of any kind or nature, whatsoever, sustained by me as a result of or in
connection with my participation in the event.
4. North Carolina law governs the determination of all issues related to this Agreement.
I certify that I am at least eighteen (18) years of age, medically and mentally sound and
physically fit to participate in the event described, above, and am competent to enter into this
waiver and release agreement.
If the participant is under eighteen (18) years of age, this document must be signed on
behalf of the participant by his or her parents or guardian.
I HAVE READ AND UNDERSTAND THIS PARTICIPATION AGREEMENT; I
UNDERSTAND AND AGREE THAT IT SHALL LEGALLY BIND ME AND MY ESTATE,
AND I SIGN IT VOLUNTARILY.
__________________________________ _____________________________
Signature Date
_________________________________ ______________________________
Printed name If parent/ guardian – specify relationship
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