Acknowledgment of Risk and Release of Liability
In consideration of my use of the trails including, but not limited to, my volunteering at Shaver’s Creek for trail maintenance, grooming activities, Animal Care, programs, events, and activities during the 2018 calendar year (“Activities”) permitted or made available by The Pennsylvania State University (“University”), I voluntarily agree to the following:

1. I understand and acknowledge that participation in Activities may be inherently dangerous and fully realize the dangers of participating in Activities. I KNOWINGLY AND VOLUNTARILY FULLY ASSUME THE RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE UNIVERSITY OR OTHERS, associated with participating in the Activities, including, but not limited to, contusions, muscle strains and sprains, broken bones, lacerations, cardiac malfunction, head, neck and back injury, permanent and temporary paralysis, drowning, death, property damage, and exacerbation of preexisting conditions.

2. I agree to release The Pennsylvania State University, its trustees, officers, employees, volunteers, insurers, and agents, of any and all responsibility or liability for any injury, loss or damage suffered directly or indirectly to myself or to any other person as a result of my voluntary participation in Activities.


I HAVE READ AND FULLY UNDERSTAND THE TERMS OF THIS ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY. BY SIGNING, I AGREE TO ITS TERMS IN THEIR ENTIRETY.

Participant/Organization Name *
Your answer
Participant/Organization Signature *
Your answer
Parent/Guardian Signature (If under 18 years of age)
Your answer
Date Signed *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service