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ASSUMPTION OF RISK, RELEASE OF LIABILITY, INDEMNITY, AND (Saddleback College)

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RISK MANAGEMENT FORM
Created: 06/04/20 Page 1 of 2
SOUTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
ASSUMPTION OF RISK, RELEASE OF LIABILITY, INDEMNITY, AND ACKNOWLEDGMENT AGREEMENT
IN-PERSON CLASS/LABORATORY PROGRAM ACTIVITIES
Student Name:
Student ID #
E-mail:
Home Address:
Telephone Number:
Classes/Programs:
Sections:
Days and Times:
Disclaimer
The South Orange County Community College District (hereinafter referred to as “District”) is offering a limited number of
essential classes/tests/exams/laboratory/activities programs (hereinafter referred to as “Programs”) to support the success of
students participating in Saddleback College programs, and to provide access and hands-on experience that is critical to train
the next generation of industry professionals. Participation in the aforementioned Program may be a requirement for
certification/graduation/transfer.
There is an inherent risk associated with the participation in the aforementioned Programs due to the Coronavirus/COVID-19
pandemic (hereinafter referred to as “Pandemic”). Participation in the above mentioned Programs carry with it certain inherent
risks that cannot be eliminated regardless of the care taken to avoid injuries. The risks may vary from one participant to another,
and may range from minor injuries such as scratches or bruises, to severe injuries such as concussions, broken bones, or infection
with a communicable disease. Students must acknowledge all risks as a condition of participation.
Assumption of Risk
I, the undersigned, hereby request to be permitted to participate in the District’s instructional Program that will allow me to
participate in on-campus Programs as part of a limited and managed return of students from distance education modalities
necessitated by the Pandemic. I understand that I am not required to participate and that there may or may not be other
avenues available to me to acquire the necessary Program credits for my field of study, including but not limited to delaying my
participation in Programs, receiving an incomplete grade and deferrering until the current Pandemic has abated to the extent
to allow for traditional on-campus Programs to re-open.
I have read the previous paragraphs and know, as well as understand these and other risks, which are inherent in the Programs
mentioned above. I hereby acknowledge that my participation is with awareness of these risks, and that I knowingly assume all
such risks.
Release of Liability
I, the undersigned, acknowledge that if granted permission to participate in the Program mentioned herein, I may be exposed
to hazards including but not limited to the potential infection of COVID-19 or other communicable diseases, and I therefore for
myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the District,
its officers, employees, agents, and/or volunteers from liability and any and all claims including the negligence of the District,
its officers, employees, agents, and/or volunteers resulting in personal injury, accident, or illnesses (including death) and
property loss arising from, but not limited to, participation in the Program.
Hold Harmless and Indemnification
I also agree to hold harmless and indemnify the District, its Board of Trustees, officers, agents, employees, and volunteers from
any and all claims, actions, suits, procedures, cost, expenses, damages, and liabilities, including attorney’s fees, that may be
brought as a result of my involvement in the above mentioned Program. This Agreement may be plead as a full and complete
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TBA
RISK MANAGEMENT FORM
Created: 06/04/20 Page 2 of 2
defense to any claim or suit brought after its effective date, and concerning any damages arising during Program as set forth
herein.
Acknowledgement of Conditions
I further understand, acknowledge, and expressly agree that my participation in the Program mentioned above is subject to the
reasonable rules and regulations of the District, including those regulations adopted expressly for the purposes of mitigating
exposure to viral pathogens and specifically to prevent the transmission of COVID-19. I understand and agree that I will comply
with reasonable requirements relating to social distancing and maintaining a face covering while engaged in District Program
on District property. I further agree to cooperate with reasonable non-invasive screening procedures to ensure that the
instructional environment remains as safe and healthy as may be expected under the circumstances. I understand that the
District may revoke its consent to my presence on campus if I refuse to abide by these rules.
In the event, I refuse or fail to comply with the protective regulations implemented by the District to prevent the exposure and
spread of Coronavirus/COVID-19, I understand that in accordance with the provisions of California Penal Code Section 626.4, I
may be required to immediately leave the South Orange County Community College District grounds and to refrain from
returning to the grounds for at least fourteen (14) days. I understand that the District holds the sole discretion to determine if
my presence on District grounds poses a threat to life and property, and/or interferes with the peaceful conduct of the
instruction activities hosted on District property. I further acknowledge that my failure to leave the District property
immediately upon being asked to vacate, and/or return to District property within 14 days after leaving, I may be subject to a
misdemeanor charge and may be punished by a fine not exceeding Five Hundred Dollars ($500), by imprisonment in the County
jail for a period not more than six months, or by both fine and imprisonment, pursuant to Section 626.4 of the Penal Code.
Severability
I, the undersigned, further expressly agrees that the foregoing release of liability and assumption of risks agreement is intended
to be as broad and inclusive as is permitted by the law of the State of California, and that if any portion thereof is held invalid,
it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
Acknowledgment of Understanding
I, the undersigned, have read this Assumption of Risk, Release of Liability, Indemnity, and Acknowledgment Agreement, fully
understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I
am signing this Agreement freely and voluntarily. I further acknowledge that in choosing not to participate in the
aforementioned program due to the risk involved, I understand that I will not fulfil the program requirements for
certification/graduation/transfer and all associated academic risks pursuant to this decision. I acknowledge that there may or
may not be other options to satisfy programmatic requirements for my field of study, but I nevertheless choose the Program as
indicated above, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent
allowed by law.
INDIVIDUALS WHO ARE UNDER THE AGE OF 18 SHALL HAVE THEIR
PARENT/LEGAL GUARDIAN COMPLETE AND SIGN THIS AGREEMENT.
Student or Parent/Legal Guardian’s Name (Print):
Signature:
Date:
OFFICIAL COLLEGE USE
College Representative Name and Title (Print):
Signature:
Date:
Dean/Director’s Name (Print):
Signature:
Date:
Caroline Cruz/Laura Pope, COS Coordinator
Anthony Teng, Dean ATAS
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ASSUMPTION OF RISK, RELEASE OF LIABILITY, INDEMNITY, AND (Saddleback College)

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Completed 5 September 2020

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