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IS the following TRUE or FALSE? I, ________________________, hereby release, discharge, and agree to hold harmless the Houston Alumni Association of the Chiao Tung University/Jiaotong University and its officers, members, volunteers, employees, and representatives (the “Association”) from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and/or the child participant that occur while such child participant is participating in the Chiao Tung University/Jiaotong University Fall Reunion at Trinity Pines Conference Center, Trinity, TX, November 4-6, 2016 (referred to as TPCC hereinafter). I hereby assume all of the risks of participating in any and/or all activities associated with the TPCC, including, by way of example and not limited to, the following: (i) any risks that may arise from the negligence or carelessness of the TPCC event participants; (ii) any injuries that may arise from any dangerous or defective equipment or property on the premises; (iii) any risks of personal injury, sickness, death, damage and expense as a result of participating in the TPCC; and (iv) any other risks that may arise from any activities taking place during the TPCC. I certify that I am physically fit, have sufficiently prepared and trained for participation in this activity, and have not been advised to not participate in the TPCC by a qualified medical professional. I certify that there are neither health-related reasons nor any problems that would preclude my participation in this activity. I hereby agree to hold harmless and indemnify the Association for any liability that I may sustain as a result of my negligent, willful or intentional acts. I further hereby agree to hold harmless the Association for my health and safety and any injury or personal property loss due to any reason from my participation in the activity of the TPCC. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I am participating, and that it will govern my actions and responsibilities at said activity. I certify that I have read this document and that I fully understand its content. I am aware that this is a release of liability and a contract, and I sign it of my own free will. * True False
Undersigned Name *
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Age (if under 18)
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Parent/Guardian Name
Parent/Guardian signature (type)
Parent/Guardian Signature date