RELEASE, WAIVER OF LIABILITY AND

COVENANT NOT TO SUE

(Please read carefully before signing)

The undersigned hereby acknowledges that participation in athletic programs, instruction, and recreational activities involves inherent risks of physical injury, illness, or loss of personal property and assumes all such risks.

The undersigned hereby agrees that for the sole consideration of Gainesville State College allowing the undersigned to participate in athletic activities which, for which, or in connection with which the college has sponsored or made available any equipment, facilities, grounds, or personnel for such programs or activities or to the undersigned while participating in any such programs or activities, the undersigned does hereby release and forever discharge Gainesville State College and the Board of Regents of the University System of Georgia, its members individually, and its officers, agents, and employees from any and all claims, demands, rights and causes of action of whatsoever kind or nature, arising from and by reason of any and all known and unknown, foreseen and unforeseen bodily and personal injuries, including death, damage to property, and the consequences thereof, resulting from the undersigned’s participation in or growing out of or connected with such athletic program, instruction, or recreational activities.

I understand that the acceptance of this Release and Waiver of Liability and Covenant Not to Sue by the Board of Regents of the University System of Georgia shall not constitute a waiver, in whole or in part, of sovereign immunity by said Board, its members, officers, agents, and employees.

It is strongly advised that participant’s seek approval from a physician before undertaking any type of physical activity.

I hereby certify that I am _____ years of age and suffering under no legal disabilities and that I have read the above carefully before signing.

Participants under 18 years of age must have the signature of their parent or legal guardian.

_________________________________________           _________________________

Participant’s Name (Please print clearly)                                        Course or Activity

________________________________________________           __________________

Signature (Participant’s or Parent/Legal Guardian)                                             Date

_________________________________________________          __________________

Witness (Must be 18 years of age or older)                                                      Date

All persons registered for courses involving any physical activity must sign and return this form before you can participate. Please sign and return the form to the Office of Continuing Education or give it to the instructor at the first class. You will not be able to take part in the class until we have received a signed form. No refunds will be given for failure to return the signed form.

(Revised 09/04)