University of Southern California

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 Southern California 
Pac-10 Challenge 
 
LIABILITY RELEASE/INDEMNIFICATION FORM 
For and in consideration of the University of Southern California, its officers, trustees, employees, agents, representatives, and any department, organization or group affiliated therewith (collectively “USC”) permitting Participant to enroll in and participate in the activity, Pac-10 Challenge, Participant, his/her spouse, assignees, heirs, guardians, and legal representatives hereby voluntarily indemnify, release from liability, agree to defend and hold harmless USC for any accident, injury, illness, death, loss, damage to person or property, or other consequences including the negligence of the Recreational Sports Department suffered by Participant or any other person arising or resulting directly or indirectly from Participant’s participation in the Activity. In the event that Participant is injured, Participant agrees to assume any financial obligation, either through Participant’s health insurance, or through some other means, for any medical costs which Participant incurs. USC assumes no responsibility for any medical expenses, injury, or damage suffered by Participant in connection with the use of any USC facilities or services in connection with the Activity. Participant further agrees to conform to all rules and regulations adopted by USC relating to the activity. IT IS THE INTENTION OF PARTICIPANT BY SIGNING BELOW TO EXPRESSLY ASSUME ALL RISK OF PERSONAL INJURY, DEATH, OR PROPERTY DAMAGE UPON HIM/HERSELF, TO THE EXCLUSION OF USC TO EXEMPT AND RELIEVE USC FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH. Participant further agrees that Participant, his/her spouse, assignees, heirs, guardians, and legal representatives will not make any claim against, sue or attach the property of USC for any loss or damage resulting from Participant’s participation in the Activity. Participant is aware of the potential dangers incidental to engaging in the Activity, that this is a release of liability, a waiver of the Participant’s legal right to collect damages in the event of injury, death or property damage and a contract between participant and USC and Participant signs it of his/her own free will.

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 University of Southern California Recreation