Loading...

Santa Fe Acknowledgement of Risk and Release of Liability Agreement and Policies and Procedures

 

I, the above-named participant, am eighteen (18) years of age and have voluntarily chosen to exercise the privilege of using the athletic facilities and equipment of St. John’s College and participating in fitness, exercise, or outdoor in-person or online activities or programs, including at the Student Activities Center (collectively, the “Activities”). In consideration of the opportunity to participate in the Activities, I knowingly and voluntarily do hereby agree to forever RELEASE, HOLD HARMLESS, AND INDEMNIFY St. John’s College and each of its affiliate organizations, agents, governing board, departments, employees, officers, directors, volunteers, officials, representatives, agents, insurers, students, and other participants (collectively, “St. John’s College”) to the fullest extent permitted by law from any and all liability, claims, demands, and causes of action, including without limitation claims of negligence, arising out of or relating to any loss, damage, or injury (including death) sustained in connection with or arising out of my participation in the Activities including any and all actions taken by St. John’s College pursuant to this Acknowledgement of Risk and Release of Liability Agreement. I voluntarily assume full responsibility for any risk of loss or property damage that may be sustained by me or any loss or damage to property owned by me as a result of my participation in the Activities.

By my signature below, I acknowledge that my participation in the Activities involves risk of minor or serious injury, including permanent disability, death, and/or economic losses which might result from my actions or inactions, the actions or inactions of others, the inherent risks of the Activities, or the negligence of St. John’s College. I understand and acknowledge that my participation in any online Activities is not monitored or observed by St. John’s College, that St. John’s College cannot provide any physical assistance (such as calling emergency medical services) with regard to online Activities or any minor or serious injury that I may sustain or aggravate during my participation in online Activities, and that I understand and appreciate the risk of experiencing injury or health emergency while engaging in fitness activities remotely, including the risk that I may use improper technique or may sustain an injury or health emergency and be unable to contact emergency medical services for myself. I acknowledge and understand that the Activities may take place outdoors and that I may be exposed to dangers and hazards that may include but are not limited to falls, falling trees or rocks, fractures, concussions, dangerous weather, overexertion, overheating, injuries related to my lack of fitness or conditioning, unpredictable ocean and river currents, hypothermia, avalanches, hostile or aggressive wildlife, drowning, death, equipment failures, and negligence of others. I further understand that the hospital facilities, qualified medical care, and emergency medical evacuation may be limited or unavailable during portions of the Activities, thus delaying or preventing emergency medical treatment or assistance. I fully understand, appreciate, and hereby assume all such known and unknown dangers and risks related to my participation in the Activities, including all actions taken by St. John’s College pursuant to this Acknowledgement of Risk and Release of Liability Agreement, and I have voluntarily elected to participate in the Activities.

I understand that my participation in the Activities may require a certain level of fitness for safe participation, and that St. John’s College does not screen, medically or otherwise, individuals that participate in the Activities. I acknowledge that it is my sole responsibility to make certain that I am physically fit and healthy enough to participate in the Activities and I understand that St. John’s College cannot observe my participation in online Activities. I further understand that all St. John’s College rules and policies, including the standards of conduct set forth in the Rules of the College Community as stated in the Student Handbook, are applicable to all participants in the Activities.

I hereby authorize St. John’s College to take photographs and video recordings of me in connection my participation in the Activities. I acknowledge and agree that photographs or video recordings of participants in the Activities, including me, may be used and published for educational and promotional purposes, including for example such purposes as publications, website content, or other print or electronic materials produced from time to time by St. John’s College. Participants will not be identified by name, however, without specific written consent. I agree that if I do not wish to be photographed or videotaped, I will notify St. John’s College in writing.

I agree that if any portion or provision of this Waiver and Release of Liability Agreement is found to be invalid or unenforceable, then the remainder of the Agreement will continue in full force and effect.

I HAVE CAREFULLY READ AND FULLY UNDERSTAND THE POLICIES AND PROCEDURES OF THE STUDENT ACTIVITY CENTER POSTED AT THE FRONT DESK. I UNDERSTAND THEY ARE SUBJECT TO CHANGE, AND I AGREE TO COMPLY WITH ALL SUCH RULES OR FACE SUSPENSION OF MY STUDENT ACTIVITY CENTER USE. 

I HAVE CAREFULLY READ AND FULLY UNDERSTAND THE ABOVE ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY AGREEMENT, UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY, WILLINGLY, AND VOLUNTARILY.

Today's Date: April 26, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Please check one:*

If, Student ID Number:

If, Alumni Campus/Year:

If,Faculty/Staff Family Member or Guest SJC Name/Relationship:
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Please check one:*

If, Student ID Number:

If, Alumni Campus/Year:

If,Faculty/Staff Family Member or Guest SJC Name/Relationship:
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Please check one:*

If, Student ID Number:

If, Alumni Campus/Year:

If,Faculty/Staff Family Member or Guest SJC Name/Relationship:
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Please check one:*

If, Student ID Number:

If, Alumni Campus/Year:

If,Faculty/Staff Family Member or Guest SJC Name/Relationship:
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Please check one:*

If, Student ID Number:

If, Alumni Campus/Year:

If,Faculty/Staff Family Member or Guest SJC Name/Relationship:
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Please check one:*

If, Student ID Number:

If, Alumni Campus/Year:

If,Faculty/Staff Family Member or Guest SJC Name/Relationship:
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Please check one:*

If, Student ID Number:

If, Alumni Campus/Year:

If,Faculty/Staff Family Member or Guest SJC Name/Relationship:
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Please check one:*

If, Student ID Number:

If, Alumni Campus/Year:

If,Faculty/Staff Family Member or Guest SJC Name/Relationship:
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Please check one:*

If, Student ID Number:

If, Alumni Campus/Year:

If,Faculty/Staff Family Member or Guest SJC Name/Relationship:
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Please check one:*

If, Student ID Number:

If, Alumni Campus/Year:

If,Faculty/Staff Family Member or Guest SJC Name/Relationship:
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact (Name/Relationship/Phone Number):
PARENT/GUARDIAN CONSENT ADDENDUM FOR MINOR PARTICIPANTS In the event that I, the undersigned, allow my minor child to participate in the Activities, I hereby acknowledge and agree that I have reviewed and understand the foregoing Acknowledgement of Risk and Release of Liability Agreement. I knowingly and voluntarily do hereby agree to all the provisions of the Acknowledgement of Risk and Release of Liability Agreement related to the participation of my minor child in the Activities on behalf of myself and my minor child. I HAVE CAREFULLY READ AND FULLY UNDERSTAND THE ABOVE ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY AGREEMENT AND THE PARENT/GUARDIAN CONSENT ADDENDUM FOR MINOR PARTICIPANTS, UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY, WILLINGLY, AND VOLUNTARILY.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Please check one:*

If, Student ID Number:

If, Alumni Campus/Year:

If,Faculty/Staff Family Member or Guest SJC Name/Relationship:
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!