WARNING, WAIVER, AND RELEASE OF LIABILITY
DATE: February 13, 2016
WARNING, WAIVER, AND RELEASE OF LIABILITY
DATE: February 13, 2016
I, ______________________________, understand that participation in the Andres Bonifacio (AB)
Samahan High School Conference will require participating in off campus events.
I, ______________________________, understand that participation in the Andres Bonifacio (AB)
Samahan High School Conference will require participating in off campus events.
I hereby waive, release and discharge any and all claims for damages for death, personal injury or property
damage which may have, or which hereafter accrue to me, against San Diego State University (the
University) or AB Samahan as a result of my participation in the event. This release is intended to
discharge the University, its trustees, officers, employees and volunteers, and any public agencies from
and against any and all liability arising out of or connected in any way with my participation in the event. I
further understand that accidents and injuries can arise out of the event which may cause personal injury;
knowing the risks, nevertheless, I hereby agree to assume those risks and to release and to hold harmless
all of the persons or agencies mentioned above who might otherwise be liable to me (or my heirs or
assigns) for damages. It is further understood and agreed that this waiver, release and assumption of risk is
to be binding on my heirs and assigns. It is the intention of the parties hereto that the provisions of this
paragraph be interpreted to impose on each party responsible for their own negligence.
I hereby waive, release and discharge any and all claims for damages for death, personal injury or property
damage which may have, or which hereafter accrue to me, against San Diego State University (the
University) or AB Samahan as a result of my participation in the event. This release is intended to
discharge the University, its trustees, officers, employees and volunteers, and any public agencies from
and against any and all liability arising out of or connected in any way with my participation in the event. I
further understand that accidents and injuries can arise out of the event which may cause personal injury;
knowing the risks, nevertheless, I hereby agree to assume those risks and to release and to hold harmless
all of the persons or agencies mentioned above who might otherwise be liable to me (or my heirs or
assigns) for damages. It is further understood and agreed that this waiver, release and assumption of risk is
to be binding on my heirs and assigns. It is the intention of the parties hereto that the provisions of this
paragraph be interpreted to impose on each party responsible for their own negligence.
Further, I understand that photographs taken by AB Samahan Officials are under the property of AB
Samahan, there for AB Samahan reserves the right to all photos taken. By signing below, you agree that
any photographs containing yourself, AB Samahan has the right to that photograph. All photographs taken
at the event will be available online. Any and only inappropriate photography must be reported to AB
Samahan or AB Samahan’s Webmaster, Miguel Palo, at webmaster@absamahan.org. The photograph will
then be removed immediately. Any other reason for the removal of a photograph(s) will be reviewed and
determined by AB Samahan. Any questions, concerns, or requests, please contact AB Samahan’s
Historian, Micah Burog, at historian@absamahan.org.
Further, I understand that photographs taken by AB Samahan Officials are under the property of AB
Samahan, there for AB Samahan reserves the right to all photos taken. By signing below, you agree that
any photographs containing yourself, AB Samahan has the right to that photograph. All photographs taken
at the event will be available online. Any and only inappropriate photography must be reported to AB
Samahan or AB Samahan’s Webmaster, Miguel Palo, at webmaster@absamahan.org. The photograph will
then be removed immediately. Any other reason for the removal of a photograph(s) will be reviewed and
determined by AB Samahan. Any questions, concerns, or requests, please contact AB Samahan’s
Historian, Micah Burog, at historian@absamahan.org.
I hereby waive, release and discharge any and all claims for damages for death, personal injury or property
damage which may have, or which hereafter accrue to me, against San Diego State University (the
University) or AB Samahan as a result of my leaving or being ejected from the San Diego State University
campus.
I hereby waive, release and discharge any and all claims for damages for death, personal injury or property
damage which may have, or which hereafter accrue to me, against San Diego State University (the
University) or AB Samahan as a result of my leaving or being ejected from the San Diego State University
campus.
I acknowledge that I have been fully informed of the risks and dangers involved in these events. I
acknowledge that I have read and fully understand the above Warning, Waiver, and Release of Liability. I
further acknowledge that the reasons for my being requested to sign this Release have been fully
explained to me and that I understand them.
I acknowledge that I have been fully informed of the risks and dangers involved in these events. I
acknowledge that I have read and fully understand the above Warning, Waiver, and Release of Liability. I
further acknowledge that the reasons for my being requested to sign this Release have been fully
explained to me and that I understand them.
I am signing this Release on my own free will and I have not been influence or coerced by any
representative or employee of the state.
I am signing this Release on my own free will and I have not been influence or coerced by any
representative or employee of the state.
Must sign in blue or black ink
Must sign in blue or black ink
_____________________________________________________________________________
Printed Name or Participant
Date of Birth (MM/DD/YY)
_____________________________________________________________________________
Printed Name or Participant
Date of Birth (MM/DD/YY)
____________________________________________________________________________
Signature of Participant
Date
____________________________________________________________________________
Signature of Participant
Date
If you are under 18 years old, you are required to fill out the following areas:
If you are under 18 years old, you are required to fill out the following areas:
____________________________________________________________________________
Printed Name of Legal Guardian
Phone Number
____________________________________________________________________________
Printed Name of Legal Guardian
Phone Number
____________________________________________________________________________
Signature of Legal Guardian
Date
____________________________________________________________________________
Signature of Legal Guardian
Date