ࡱ> ?A> 5bjbjII 7,++ Q ttttt8<'l"" "s'u'u'u'u'u'u',h*-p't"""""'d#tt~ 'd#d#d#"Rtts'd#"s'd#d#% &)f#R%_''0'&-d#- &d#t &T"""''d#"""'-""""""""" ::    ON-CAMPUS ACTIVITY RELEASE (Adult) _____________________________________________ Assumption of Risk, Release of Liability, Promise Not to Sue, Assumption of Risk, and Hold Harmless Agreement Name of Activity: ______________________________________________________ Date(s) of Activity: _____________________________________________________ Teachers College Location(s) of Activity: ____________________________________ _____________________________________________________________________ Description of Activity: __________________________________________________ ______________________________________________________________________ 1. I voluntarily choose to participate in this activity. I do so fully understanding the possible risks inherent in my participation. The risks include, and are not limited to, the following: 2. In consideration for Teachers College permitting me to participate in this activity, including any transportation associated with it, I assume all the risks and responsibilities related to my participation, both known and unknown to me. I understand these risks may arise from my own or others actions, inaction, or negligence; conditions related to travel, or the condition of the activity location(s). 3. On behalf of myself and my next of kin, heirs, and representatives, I release, waive and forever discharge Teachers College and its employees, officers, directors, volunteers and agents (collectively the College) from liability for any and all claims of any nature, for any type of harm, injury or damage (whether physical, psychological, or economic) including but not limited to paralysis, death, or suffering, that I may sustain because of my participation in the activity. 4. If, despite this Release of Liability, Assumption of Risk, and Agreement to Pay Claims (Release), I, or anyone on my behalf, makes a claim against the College arising out of my participation in this activity, I will indemnify, save, and hold harmless the College from any litigation expenses, attorney fees, loss, liability, damage, or cost which the College may incur as a result of such a claim. 5. It is my express intent that this Release shall bind all members of my family, including my spouse and also, if I am deceased, my estate, heirs, administrators, personal representatives, or assigns. 6. I have been given sufficient opportunity to read, and have read, this Release before signing it. I understand the legal consequences of this Release, including assuming all risks associated with the activity, releasing the College from liability and promising not to sue, and holding the College harmless from any expenses resulting from claims arising from my participation in the activity. 7. I am not required to participate in this activity and I voluntarily sign this document. 8. I agree this Release shall be construed in accordance with the laws of the State of New York, without regard to its conflicts of laws rules. I hereby submit to the jurisdiction of the courts of the State of New York, and agree that any litigation concerning this release shall be brought in the courts in the City and State of New York. 9. I agree that if any portion of this Release is held invalid or unenforceable, I will continue to be bound by the remaining terms. _______________________________________________________________ Participant Signature ________________________________________________________________ Print Name Date: ________________________     2 On-Campus Activity Release Publicity and Media Supplement #%RSThѿђqbqbqqQ@ h.Uhr2CJOJQJ^JaJ h.Uh7CJOJQJ^JaJhV5CJOJQJ^JaJ#hth75CJOJQJ^JaJh)\5CJOJQJ^JaJhQS5CJOJQJ^JaJht5CJOJQJ^JaJh;5CJOJQJ^JaJ#hthuTe5CJOJQJ^JaJhuTe5CJOJQJ^JaJhO5CJOJQJ^JaJ hthtCJOJQJ^JaJ$%ST  \ ] M N \ ] ^ $d &d N P gd7gd7$a$gd7$a$gdsgds  & B W [ \ ] n 7 K L  ޼.}}}k\K hthCCJOJQJ^JaJhDZ5CJOJQJ^JaJ#hthC5CJOJQJ^JaJ h.UhCCJOJQJ^JaJh.UCJOJQJ^JaJhG UCJOJQJ^JaJ#h.Uhr2>*CJOJQJ^JaJ h.UhQCJOJQJ^JaJ h.Uh7CJOJQJ^JaJ h.Uhr2CJOJQJ^JaJ h.UhDZCJOJQJ^JaJ  N Y [ \ ` c e f   3  / 0 F H ӠzfzӠӠӠӠfzTz#hth>*CJOJQJ^JaJ&hth0x5>*CJOJQJ^JaJ&hth5>*CJOJQJ^JaJ#hthC5CJOJQJ^JaJ hthCJOJQJ^JaJ hh0xCJOJQJ^JaJ hth0xCJOJQJ^JaJhDZCJOJQJ^JaJ hthCCJOJQJ^JaJhr2CJOJQJ^JaJ^ _ ` a vwBC-.Uopqgd;gd7&d (d P R gd7 *FGHUbc$%1256;Gʹʨ{{{{{jX#hDZhJW5CJOJQJ^JaJ hthUYCJOJQJ^JaJhVCJOJQJ^JaJhDZCJOJQJ^JaJ hthJWCJOJQJ^JaJ hth0xCJOJQJ^JaJ hthCJOJQJ^JaJ hthCJOJQJ^JaJ hth[-]CJOJQJ^JaJ&hth[-]5>*CJOJQJ^JaJ!23uvwxz{45ABCDGHpsy ,-./침xg hth[-]CJOJQJ^JaJhVCJOJQJ^JaJ hth(CJOJQJ^JaJ hthUYCJOJQJ^JaJ hthJWCJOJQJ^JaJhDZCJOJQJ^JaJ&hth5>*CJOJQJ^JaJ hDZ5>*CJOJQJ^JaJ&hthJW5>*CJOJQJ^JaJ(/23W` (0O´sbQ@2hCJOJQJ^JaJ h OahVCJOJQJ^JaJ h OahBCJOJQJ^JaJ hthCJOJQJ^JaJ hthCJOJQJ^JaJhUYCJOJQJ^JaJ h;h;CJOJQJ^JaJ h;hTCJOJQJ^JaJhTCJOJQJ^JaJ hthTCJOJQJ^JaJh0CJOJQJ^JaJhDZCJOJQJ^JaJ hthUYCJOJQJ^JaJOmn&0345￰hY3hOhYh:jh:U#hthQS5CJOJQJ^JaJh Oa5CJOJQJ^JaJ h OahDZCJOJQJ^JaJhCJOJQJ^JaJ h OahVCJOJQJ^JaJ h OahBCJOJQJ^JaJ2345gd$a$gdngd75 01h:p;/ =!"#$% !666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~8XV~ OJPJQJ_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH P@P  v Heading 2$@&OJPJQJaJmHsHtHDA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List H`H s No SpacingCJ_HaJmH sH tH P@P Q0 Balloon TextCJOJQJaJmHsHtHNoN Q0Balloon Text CharCJOJQJ^JaJ4 @"4 0Footer !.1. 0 Footer Char.)A. 0 Page NumberhoRh pDefault1$7$8$H$1B*CJOJPJQJ^J_HaJmH phsH tH 4OQR4 pCM2 B*^Jph6OQR6 pCM1d B*^Jph4OQR4 pCM3. 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