In consideration of my acceptance to engage in Griffin Afterschool programming from September 2017 to May 2018 at the College of William & Mary, I do hereby release The College of William & Mary, its officers, directors, employees, and agents (“the College”) and Griffin Afterschool and all programs of the Office of Community Engagement and its members (“the organization”) from responsibility for:
- Any and all injuries caused by the negligence, recklessness, or intentional acts of myself and/or any third parties.
- Any and all property damage that may occur while I participate in Griffin Afterschool. My property damage waiver includes all property damage, including that caused by the negligence, recklessness, or intentional acts of myself, third parties, the College, and/or the organization.
I hereby acknowledge that my (or my child’s) participation is strictly voluntary, and that by signing this document I knowingly assume all risks associated with my (or my child’s) participation in Griffin Afterschool. I agree to stop and request assistance if I (or my child) experience any symptoms such as, but not limited to, dizziness, excessive fatigue, shortness of breath, pain, or any other conditions which would make it difficult or unsafe to continue. I (or my child) further agree to obey all federal, state, and local laws; use proper safety equipment when applicable, including seatbelts in moving vehicles; and follow the instructions of the Griffin Afterschool coordinators while participating in this event.
Assumption of Risk: I fully appreciate the nature and extent of the risks involved in Griffin Afterschool. Participation in a Griffin Afterschool event carries with it certain inherent risks that cannot be eliminated regardless of the care taken. These risks include, but are not limited to:
Accidents related to transportation, including collisions with motor vehicles and careless drivers or vehicle failure, and injuries including death resulting therefrom.
- Cuts, scrapes, bruises, concussions, and musculoskeletal injuries resulting from horseplay, participation in games, or tripping or falling on uneven surfaces.
- Injuries and illness resulting from the effects of weather, including high heat or cold temperatures, high winds, humidity, and precipitation
- Food poisoning or choking
Representations Concerning Health: With full knowledge of the risks inherent to Griffin Afterschool, I represent that I (or my child) am in good health and do not have any condition which will interfere with my (or my child’s) ability to participate in Griffin Afterschool or endanger my (or my child’s) health in connection with Griffin Afterschool. I acknowledge valid and current insurance to cover any injury or damage I (or my child) may cause or suffer while participating in the Griffin Afterschool or otherwise agree to personally bear the costs of such injury or damage. I authorize, but do not obligate, an Office of Community Engagement representative to seek emergency medical treatment for me (or my child) in the event of an accident or illness that occurs during my (or my child’s) participation in the Griffin Afterschool, even in the event that I (or my child) am unconscious or otherwise cannot consent. I attest that if I (or my child) have recently suffered an illness, injury, or impairment, or have any concerns about my (or my child’s) ability to participate in the Griffin Afterschool, I should have or did consult a physician prior to my participation. I further take full responsibility for consulting a physician if I experience any doubt as to my (or my child’s) ability to successfully and safely complete the Griffin Afterschool event once it has begun.