I understand and agree that The Big Event is a service project
scheduled to take place on March 23, 2013 and that my participation in The Big
Event involves certain risks and that regardless of the precautions taken by The
Big Event some bodily injuries may occur.
Specific risks/hazards involved in The Big Event include but are
not limited to the following:
1. Traveling to, from and performing service projects at various
sites in and around the Galveston/Texas City area.
2. The use of small equipment, hand tools or basic chemicals
(paint, cleaning supplies, etc.).
3. Basic gardening tasks such as pulling weeds, trimming bushes,
clearing debris, and tilling.
4. Activities involving moderate physical exertion such as
shoveling, sweeping, scrubbing, raking, etc.
5. Use of ladders where needed to complete a project.
6. Potential for bees, wasps, ants and allergens to be present
at job site.
The likelihood of such injuries may be reduced by adhering to
safety rules or procedures, which include but are not limited to the following:
1. Stay with your group at all times.
2. Refrain from the use of power tools or large equipment.
3. Follow the instructions given by The Big Event committee
members and staff.
4. Promptly notify The Big Event Committee at headquarters of
any dangerous or potentially dangerous conditions of which you become aware
during the event, including tasks that you feel you are unable to perform safely
for any reason.
Knowing this information and in consideration of my
participation in The Big Event, I expressly and knowingly release The Big Event,
its representatives, officers, advisors, and agents; the university, the state,
its officers and employees, from any and all claims and causes of action for
property damage, personal injury or death sustained by me arising out of any
travel or activity conducted by or under the auspices of The Big Event caused by
risks associated with this activity and/or the negligence of any of the released
person and/or entities. Participant acknowledges that The Big Event and the
University/State are separate legal entities and should be treated as such.
I hereby grant permission to The Big Event to use my photograph
on its World Wide Web site or in other official Big Event printed publications
without further consideration.
In addition, I understand and agree that The Big Event cannot be
expected to control all the risks articulated in this form but may need to
respond to accidents and potential emergency situations. Therefore, I hereby
give my consent for any medical treatment that may be required during my
participation with understanding that the cost of any such treatment will be my
responsibility. Neither the University nor The Big Event carries medical or
accident insurance for the activities mentioned unless the participants are
informed otherwise. As such, participants should review their personal insurance
Finally, I voluntarily and knowingly agree to protect, hold
harmless, and indemnify The Big Event, its representatives, officers, advisors
and agents; the University, the State, its officers and employees, against all
claims, demands or causes of action for property damage, personal injury, or
death, including claims based in negligence and including defense costs and
attorney’s fees arising out of my participation in The Big Event.
I have read the agreement and have willingly signed the attached
signature form for the consideration expressed and with a full understanding of
its purpose. Participant represents that he/she is eighteen (18) years of age or
older and is otherwise competent to execute this agreement that his/her legal
guardian is also signing. If you are under the age of 18, you are legally a
minor and are required to fill out an addition form, which requires
parental/guardian signature approval.