(To be completed and signed by parent/guardian of volunteer if volunteer is under 18 years of
age)
I , being the parent or legal guardian
of
(the
“Minor”) hereby consent to and authorize the Minor to act as a volunteer for CSU Maritime Academy (Cal Maritime).
I acknowledge and agree that activities performed by the Minor as a volunteer will be performed strictly on a voluntary
basis, without any pay, compensation, or benefits. I agree and understand that the Minor must comply with the rules
and regulations established from time to time by the CSU and that failure to do so may result in the Minor’s immediate
removal as a volunteer.
I am aware of the nature of the activities to be performed by the Minor as a volunteer. These activities will include,
but are not limited to the following type of activities:
I agree that all volunteer activities are to be performed by the Minor at the Minor’s risk and I assume full responsibility
therefore.
On behalf of myself, the Minor, and our respective heirs and personal representatives, I agree to indemnify and hold the
State of California, the Trustees of the California State University, Cal Maritime and all of its officers, employees,
representatives and volunteers free and harmless from and against all claims, damages, losses and expenses, including
attorney fees, that my minor child may sustain while participating in the volunteer activity. I hereby release and
discharge the CSU and the Trustees of the California State University, Cal Maritime and all of its officers, employees,
representatives and volunteers from any and all claims, demands, causes of action of any nature or cause, for any
such injury or damage incurred or suffered by the Minor.
Event Activity: Date:
Volunteer’s
Name:
Volunteer
Address:
Emergency
Contact:
Phone:
Health & Accident Insurance Contact: Policy #:
Parent/Legal Guardian Signature
I have carefully read this agreement, waiver and release and fully understand its contents. I am aware that this is a
release of liability and a contract between Cal Maritime and myself and I sign it of my own free will.
Print
Name:
Signature:
Date:
