Pacific
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Pacific
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Acknowledgment
of Participation:
Participants should be aware of the possible risks that are inherent in the
nature of some of the activities. There
risks include, but are not limited to, the potential for accidents or illness
while participating. Every attempt
is made to minimize the existing risks through proper sports equipment, safe
facilities, and sound safety practices. However,
participants should realize these risks cannot be eliminated.
By affixing
your name to the team roster, you understand that you are participating in the
University of the Pacific/Society of Hispanic Professional Engineers’ soccer
tournament at your own risk, and hereby agree to indemnify and hold harmless UOP/SHPE
and its officers from any liability in connection with the activity.
In addition, by affixing your name to the team roster you understand that UOP/SHPE
carries no medical or accident insurance, which benefit you, should you be injured
in the soccer competition.
I,
(Print Name)
a member of the Society
of Hispanic Professional Engineers, affirm
that I am aware of my physical condition, that I am voluntarily participating as
a member of SHPE, I am aware that such participation may result in possible
injury as a result of the nature of the sport,
and that I am assuming any risk that may be involved in the sport.
In addition, I do hereby release the University of the Pacific and the
Society of Hispanic Professional Engineers of any and all responsibility of
liability in case of any personal injury sustained by me
or damage of property of others caused by me
while participating in the soccer tournament.
I have read and understand the above statements and will carry them out
to the best of my abilities.
(Signature) (Date)
CC:
Maria Garcia-Sheets, Advisor
Copyright © 2000 University of the Pacific's Society of Hispanic
Professional Engineers. All rights reserved.
Revised: October 16, 2000 .