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Assumption of Risk & Release Form

* First Name
* Last Name
* Student ID Barcode Number
* Event
Please enter the name of the event you plan to participate in.


In consideration of being allowed to participate in the Spruce Up Day (hereinafter "Program"), I hereby agree as follows:

1. Risks of Participation. I understand that participation in the Program is voluntary and involves risk not found at Saint Mary's University of Minnesota ("the University"). These include risks involved in traveling to and within, and returning from different states, different political, legal, social, and economic conditions; housing in economically depressed areas; possible residence in high crime areas; possible exposure to contaminants, disease, and infectious agents associated with service work; lost or stolen property, injuries or death, harm from possible criminal acts including sexual assaults, and local medical and weather conditions. I understand that the University cannot guarantee my absolute safety during the Program, cannot monitor my daily personal decisions, choices, and activities, cannot prevent me from engaging in illegal or risky activities if I ignore rules and advice from the University, and cannot represent my interests if I am accused of illegal activities. I have made my own investigation and am willing to accept these risks.

2. Independent Activity. I understand that the University is not responsible for any injury or loss I may suffer when I am traveling independently or am otherwise separated or absent from any University-supervised activities.

3. Health and Safety.

A. I understand that the University does not carry insurance to cover any possible losses I may incur as a result of my voluntary participation in the Program.

B. The University may (but is not obligated to) take any actions it considers to be warranted under the circumstances regarding my health and safety. I agree to pay all expenses relating thereto and release the University from any liability for any actions. I specifically grant the University permission to authorize emergency medical treatment for me, if necessary. I release the University from all responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment.

4. Standards of Conduct.

I will comply with the University's rules, standards and instructions for student behavior in the Program. I will also comply with the University's general rules, standards, policies and procedures for student behavior.
5. Assumption of Risk and Release of Claims. Knowing the risks described above, and in consideration of being permitted to participate in the Program, I agree, on behalf of my family, heirs, and personal representative(s), to assume all the risks and responsibilities surrounding my participation in the Program. To the maximum extent permitted by law, I release and indemnify the Saint Mary's University of Minnesota, its trustees, and its officers, employees and agents, from and against any present or future claim, loss or liability for injury to person or property which I may suffer, or for which I may be liable to any other person, during my participation in the Program (including periods in transit to or from where the Program is being conducted).

I have carefully read this Release Form before signing it. No representations, statements, or inducements, oral or written, apart form the foregoing written statement, have been made.

This agreement will become effective once signed by me and will be governed by the laws of the state of Minnesota, which will be the forum for any lawsuits filed under or incident to this agreement or to the Program.

* Selecting Yes below serves as your signature and indicates you hereby agree to
all of the terms and conditions stated above.

Individuals selecting No will not be allowed to participate in the activity.

  Yes     No    
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