WAIVER FORM

I,                                                                , for myself and my estate, heirs, administrators, executors, and assigns, hereby release and hold harmless the State of California, the State of Nevada, the State of Arizona, the American Society of Civil Engineers (ASCE), and their officers, directors, employees, representatives, agents, and volunteers (collectively, the “Releasees”), from any and all liability and responsibility whatsoever, however caused, for any and all damages, claims, or causes of action that I, my estate, heirs, administrators, executors, or assigns may have for any loss, illness, personal injury, death, or property damage arising out of, connected with, or in any manner pertaining to the described activity, whether caused by the negligence of Releasees or otherwise. 

I fully understand that there are potential risks and hazards associated with the activity and its related travel, including, but not limited to, possible injury or loss of life. 

I further understand that during the activity/event, I will be visiting locations and interacting with persons who are not associated with or under the control or supervision of the Releasees. Despite the potential risks and hazards associated with the activity, I wish to proceed and freely accept and assume all risks and hazards that may arise from my participation in the activity, and that could result in loss, illness, personal injury, death, or property damage, whether caused by the negligence of Releasees or otherwise. 

I further agree to comply with all applicable laws and ordinances and ASCE regulations, rules, and policies. 

I further hereby agree to indemnify and hold harmless the Releasees from any judgment, settlement, loss, liability, damage, or costs, including court costs and attorney fees for both the trial and appellate levels that Releasees may incur as a proximate result of any negligent or deliberate act or omission on my part during my participation in the Field Trip. 

In signing this agreement, I acknowledge and represent that I have read and understand it and that I sign it voluntarily and for full and adequate consideration, fully intending to be bound by the same.