UCLA

Register Now

Fields marked with * are required to register.

* First Name:

* Last Name:

Affiliation:

* Phone:

* Email:

* Retype Email:

Gender:

N/AFemaleMale

University ID:

Group Affiliation:

Group Name:

(Name of student organization, residence hall,
fraternity/sorority if applicable)

* Password:

* Retype Password:

You must be 18 years of age by October 26, 2009 to participate in the Pac-10 Challenge warm-up.

* Birthdate (MM/DD/YYYY):

RELEASE/DISCLAIMER

In consideration of being permitted to participate in the Pac-10 Fitness Challenge, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Pacific-10 Conference, its directors, officers, employees, and agents from liability from any and all claims, resulting in personal injury, accidents or illnesses (including death), and property loss arising from my participation in the Pac-10 Fitness Challenge.

I also agree to indemnify and hold the Pacific-10 Conference harmless from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney fees brought as a result of my involvement in the Pac-10 Fitness Challenge and to reimburse them for any such expenses incurred.

I also acknowledges that the Pac-10 Fitness Challenge is not a Pac-10 varsity sport nor is it sponsored by or organized by the Pacific-10 Conference.

Assumption of Risk, Release of Liability

UNIVERSITY OF CALIFORNIA, LOS ANGELES 
 
UCLA RECREATION 
 
Waiver of Liability, Assumption of Risk, and Indemnity Agreement 
 
Waiver:  In consideration of being permitted to use, today and on all future dates, the property, facilities, staff, equipment and services of UCLA Recreation, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue The Regents of the University of California, its directors, officers, employees, and agents from liability from any and all claims including the negligence of UCLA Recreation, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in activities, classes, observation, and use of facilities, premises or equipment. 
 
Assumption of Risks:  Physical activity, by its very nature, carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. UCLA Recreation has facilities for and provides for activities such as weight lifting, running, aerobic activities, classes and sporting activities. Some of these involve strenuous exertions of strength using various muscle groups, some involve quick movements involving speed and change of direction, and others involve sustained physical activity which places stress on the cardiovascular system. 
 
The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions 3) catastrophic injuries including paralysis and death. 
 
I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in the activities made possible by UCLA Recreation.  I hereby assert that my participation is voluntary and that I knowingly assume all such risks. 
 
Indemnification and Hold Harmless:  I also agree to INDEMNIFY AND HOLD The Regents of the University of California HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement at UCLA Recreation and to reimburse them for any such expenses incurred.   
 
Severability:   The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.  
 
Acknowledgment of Understanding:  I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue.  I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

* I understand by agreeing, my signature is being transferred electronically, and I will not challenge the validity of the signature in any legal proceeding in which this document may be offered or used.

Enter the above code here:

Refresh Text.

The registration information collected will be used solely for the Pac-10 Fitness Challenge. Your personal information (name, address, email, date of birth, phone number) will never be given or sold to a third party. You will only be contacted for Pac-10 Fitness Challenge specific purposes, such as winning an incentive prize or to provide updates.

Brought To You By UCLA Recreation