Assumption of Risk / Indemnification Agreement

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Derrick Watts
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Assumption of Risk / Indemnification Agreement I understand and agree that The Big Event is a service project scheduled to take place on Saturday, April 13, 2013 and that my participation in The Big

1 Assumption of Risk / Indemnification Agreement I understand and agree that The Big Event is a service project scheduled to take place on Saturday, April 13, 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 Lawrence 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, 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 jobsite. The likelihood of such injuries may be reduced by adhering to safety rules and 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, waive, discharge, covenant not to sue, and agree to hold harmless for any and all purposes The Big Event, The KU Memorial Unions, and The University of Kansas and the State of Kansas, including their officers, agents, and employees, from any and all claims and causes of action for property damage, personal injury or death sustained by me arising out of my participation in The Big Event. Participant acknowledges that The Big Event and the University/State are separate legal entities. 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 potentially emergency situations. Therefore, I 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/State nor The Big Event carries medical or accident insurance for the activities involved in the service project. As such, participants should be aware of their own personal insurance coverage. Finally, I voluntarily and knowingly agree to protect, hold harmless, and indemnify The Big Event, The KU Memorial Unions, and The University of Kansas and the State of Kansas, including their officers, agents, 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. It is my express intent that this Release bind the members of my family, heirs, assigns, and personal representatives. By signing the Participation Form, you assume and agree to all of the terms as stated in this Assumption of Risk /Indemnification Agreement and are expected to arrive by your assigned time(s) on April 13, 2013 to participate in The Big Event. This form is also available online at thebigeventku.com. Thank you for helping out the community! KEEP THIS PAGE FOR YOUR PERSONAL REFERENCE

NAME OF ORGANIZATION/GROUP/INDIVIDUAL PARTICIPANT: TOTAL NUMBER OF VOLUNTEERS PARTICIPATING IN THE BIG EVENT: Jobs will be assigned by amount of volunteers, please be accurate in order for The Big

2 NAME OF ORGANIZATION/GROUP/INDIVIDUAL PARTICIPANT: TOTAL NUMBER OF VOLUNTEERS PARTICIPATING IN THE BIG EVENT: Jobs will be assigned by amount of volunteers, please be accurate in order for The Big Event to properly staff each location. Thank you. Main Contact for organization: Organization/Group/Individual: Cell Phone Number: Address: KUID: The Big Event requires a cell phone number on record for each job site. When you attend the Organizational Meeting you will be notified the number of jobsites your group received and which jobsite leaders have been assigned. This group consists of: Students ONLY Faculty/Staff ONLY Combination of Faculty/Staff AND Students *YOU MUST HAVE 1 JOBSITE CONTACT FOR EVERY 5 VOLUNTEERS* Jobsite Contacts are responsible for the timely completion of their job. Additionally, they will be required to have a cell phone at their jobsites in case of emergency. The GRAY BOXES WITH ASTERISKS below indicate Jobsite Contacts. ALL PARTICIPANTS, INCLUDING THE MAIN CONTACT, MUST SIGN BELOW. *THE BIG EVENT WILL NOT MAKE COPIES OF YOUR PARTICIPANT LIST* Participant Name Participant Signature Participant KUID Participant Cell # By signing this Participation Form, you agree to all the terms stated in the attached Assumption of Risk/Indemnification Agreement. 1* * *

3 Participant Name Participant Signature KUID Participant Cell # By signing this Participation Form, you agree to all the terms stated in the attached Assumption of Risk/Indemnification Agreement * * * * * * 42 43

4 44 45 Participant Name Participant Signature KUID Participant Cell # By signing this Participation Form, you agree to all the terms stated in the attached Assumption of Risk/Indemnification Agreement. 46* * * * * *

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The Big Event 2018 April 14, 2018 Presented by ASNMSU

The Big Event 2018 April 14, 2018 Presented by ASNMSU 2018 April 14, 2018 Presented by ASNMSU April 14, 2018 What is The Big Event? ASNMSU will be hosting its 15 th annual The Big Event, an off-campus community service project where students provide volunteer