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Feather River Community College District
Acknowledgement, Waiver of Liability, Assumption of Risk & Indemnity Agreement
The Feather River Community College District (“District”) is offering a limited number of essential
activities to support the success of students participating in limited programs of study and to
provide access and hands-on experience that is critical to train the next generation of industry
professionals. Participation with in-person activities is elective and not required. While the District
has implemented measures to provide a safe learning environment, there is an inherent risk
associated with in-person activities at the current time due to the coronavirus/COVID-19
pandemic, and students must acknowledge those risks as a condition of voluntary participation.
I, __________________________________________________________________________,
hereby request to be permitted to participate in the District’s limited activity including but not
limited to Student Housing operated by the District, face to face instruction including laboratories
and activity courses, student support services, student employment, athletics, and transportation
provided by the District as part of a limited and managed return of students from distance
education modalities necessitated by viral pandemic. I understand that I am not required to
participate, I am choosing to do so and that there may be other avenues available to me to acquire
the necessary credits for my field of study, including but not limited to delaying my participation in
activities until the current COVID-19 pandemic has abated to the extent to allow for traditional on-
campus activities to reopen.
Waiver: I acknowledge that if granted permission to participate in the activity (“Activity”) elected
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, and agents from liability and any and all claims including the negligence of District,
its officers, employees and agents, resulting in personal injury, accident, or illnesses (including
death) and property loss arising from, but not limited to, participation in the Activity.
Assumption of Risks: Participation in the above Activity carries with it certain inherent risks that
cannot be eliminated due to the current COVID-19 pandemic 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 or broken bones or infection
with a communicable disease such as COVID. I have read the previous paragraphs and I know
understand, and appreciate these and other risks which are inherent in this Activity. I hereby
acknowledge that my participation is with awareness of these risks, and that I knowingly assume
all such risks.
Indemnification and Hold Harmless: I also agree to indemnify and hold harmless the District
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 Activity. This
Agreement may be plead as a full and complete defense to any claim or suit brought after its
effective date, and concerning any damages arising during an Activity as set forth herein.
Acknowledgement of Conditions: I further understand, acknowledge, and expressly agree that
my participation in the Activity 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
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covering while engaged in District activities 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.
Severability: The undersigned further expressly agrees that the foregoing waiver 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.
By signing the waiver you are agreeing that all mentioned above has been
understood, agreed upon, and that you understand that participating in any of
the activities listed above is voluntary optional activity and that you have the
option to not participate.
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You further expressly acknowledge and accept that by participating in any of
the above activities, you are willingly accepting responsibility for a potentially
increased risk of contracting COVID-19
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Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and
indemnity 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 the agreement
freely and voluntarily, I acknowledge that there are other avenues available to satisfy the lab
requirements for my field of study, but I nevertheless choose the Activity 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.
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Student Signature Date
_______________________
Student ID
____________________________________________________________________________
Parent Signature (if student is under the age of 18) Date
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