UCLA STUDENTS THE WAIVER IS MANDATORY!!! 


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UNIVERSITY OF CALIFORNIA, LOS ANGELES Waiver of Liability. Assumption of Risk, and Indemnity Agreement Waiver: In return for being permitted to participate in the following activity or program ("The Activity"), including any associated use of the premises, facilities, staff, equipment, transportation, and services of the University, I, for myself, neirs. personal representau ves. and assigns. ao meredy release. walve. dischalge. ana promise mor vo sue Ine Regents or the University of California, and the student organization/club listed below, and their respective directors, officers, employees, and agents (collectively "The Releasees"), from liability from any and all claims, including the negligence of The Releasees, resulting in personal injury (including death), accidents or illnesses, and property loss, in connection with my participation in the Activity and any use of University premises and facilities. Name of Student Organization/Club: US AC Cultural Affairs Commission Facility: 620 Landfair Ave Los Angeles, CA Description of the Activity: Start Date: 11/21/2024 End Date: 11/21/2024 concert/houseshov Assumption of Risks: Participation in The Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injury. The specitic risks vary trom one activity to another. but the risks range from 1) minor injuries such as scratches, bruises, and sprains, to 2) major injuries such as eye injury, joint or bone injuries, heart attacks. and concussions. to 3) catastrophic injuries such as paralvsis and death Indemnification and Hold Harmless: I also agree to indemnify and hold The Releasees harmless from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities. including attorney's fees, arising out o my involvement in The Activity. and to reimburse it for any such expenses incurred. Severability: I further agree that this Waiver of Liability, Assumption of Risk, and Indemnity Agreement is intended to be as broad and inclusive as permitted by law, and that if any portion is held invalid the remaining portions will continue to have tu lesa force and ettect. Governing Law and Jurisdiction: This Agreement shall be governed by the laws of the State of California, and any disputes arising out o or in connection with thIs Agreement shall be under the exclusive jurisdiction o the courts o the Acknowledgment of Understanding: 1 have read this Waiver o Liability, Assumption o RisK. and IndemnityAgreement. fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I confirm that Iam signing the agreement freelv and voluntarilv. and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

UNIVERSITY OF CALIFORNIA, LOS ANGELES Waiver of Liability. Assumption of Risk, and Indemnity Agreement Waiver: In return for being permitted to participate in the following activity or program ("The Activity"), including any associated use of the premises, facilities, staff, equipment, transportation, and services of the University, I, for myself, neirs. personal representatives. and assigns. ao meredy release. walve. dischalge. ana promise mor vo sue Ine Regents or the University of California, and the student organization/club listed below, and their respective directors, officers, employees, and agents (collectively "The Releasees"), from liability from any and all claims, including the negligence of The Releasees, resulting in personal injury (including death), accidents or illnesses, and property loss, in connection with my participation in the Activity and any use of University premises and facilities. Name of Student Organization/Club: US AC Cultural Affairs Commission Facility: 620 Landfair Ave Los Angeles, CA Description of the Activity: Start Date: 11/21/2024 End Date: 11/21/2024 concert/houseshov Assumption of Risks: Participation in The Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injury. The specitic risks vary trom one activity to another. but the risks range from 1) minor injuries such as scratches, bruises, and sprains, to 2) major injuries such as eye injury, joint or bone injuries, heart attacks. and concussions. to 3) catastrophic injuries such as paralvsis and death Indemnification and Hold Harmless: I also agree to indemnify and hold The Releasees harmless from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities. including attorney's fees, arising out o my involvement in The Activity. and to reimburse it for any such expenses incurred. Severability: I further agree that this Waiver of Liability, Assumption of Risk, and Indemnity Agreement is intended to be as broad and inclusive as permitted by law, and that if any portion is held invalid the remaining portions will continue to have tu lesa force and ettect. Governing Law and Jurisdiction: This Agreement shall be governed by the laws of the State of California, and any disputes arising out o or in connection with thIs Agreement shall be under the exclusive jurisdiction o the courts o the Acknowledgment of Understanding: 1 have read this Waiver o Liability, Assumption o RisK. and IndemnityAgreement. fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I confirm that Iam signing the agreement freelv and voluntarilv. and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. PLEASE SIGN OFF WITH YOUR FULL NAME AND UCLA EMAIL

UNIVERSITY OF CALIFORNIA, LOS ANGELES Waiver of Liability. Assumption of Risk, and Indemnity Agreement Waiver: In return for being permitted to participate in the following activity or program ("The Activity"), including any associated use of the premises, facilities, staff, equipment, transportation, and services of the University, I, for myself, neirs. personal representatives. and assigns. ao meredy release. walve. dischalge. ana promise mor vo sue Ine Regents or the University of California, and the student organization/club listed below, and their respective directors, officers, employees, and agents (collectively "The Releasees"), from liability from any and all claims, including the negligence of The Releasees, resulting in personal injury (including death), accidents or illnesses, and property loss, in connection with my participation in the Activity and any use of University premises and facilities. Name of Student Organization/Club: US AC Cultural Affairs Commission Facility: 620 Landfair Ave Los Angeles, CA Description of the Activity: Start Date: 11/21/2024 End Date: 11/21/2024 concert/houseshov Assumption of Risks: Participation in The Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injury. The specitic risks vary trom one activity to another. but the risks range from 1) minor injuries such as scratches, bruises, and sprains, to 2) major injuries such as eye injury, joint or bone injuries, heart attacks. and concussions. to 3) catastrophic injuries such as paralvsis and death Indemnification and Hold Harmless: I also agree to indemnify and hold The Releasees harmless from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities. including attorney's fees, arising out o my involvement in The Activity. and to reimburse it for any such expenses incurred. Severability: I further agree that this Waiver of Liability, Assumption of Risk, and Indemnity Agreement is intended to be as broad and inclusive as permitted by law, and that if any portion is held invalid the remaining portions will continue to have tu lesa force and ettect. Governing Law and Jurisdiction: This Agreement shall be governed by the laws of the State of California, and any disputes arising out o or in connection with thIs Agreement shall be under the exclusive jurisdiction o the courts o the Acknowledgment of Understanding: 1 have read this Waiver o Liability, Assumption o RisK. and IndemnityAgreement. fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I confirm that Iam signing the agreement freelv and voluntarilv. and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. PLEASE SIGN OFF WITH YOUR FULL NAME

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