Student Waiver and Release Form

ASHLAND UNIVERSITY | OFFICE OF CHRISTIAN MINISTRY

The undersigned, in consideration of being allowed to participate in __________________ does hereby irrevocably, personally, and for and on behalf of his or her heirs, next of kin, successors, assigns, and legal representatives, release and waive any and all claims, demands, and causes of action which the undersigned now has or may have against Ashland University, the Board of Trustees and any and all representatives, officers, employees, and agents of the aforesaid parties, and the Department of Religious Life and its paid and volunteer staff for any and all injuries received while engaged in or resulting from, arising from, or related to the below mentioned activities; and the undersigned hereby further waives and releases any and all claims against any and all of the aforesaid parties for any items of personal property damaged, or destroyed while engaged in any of the below mentioned activities at any time.

The undersigned covenants not to cause any action at law or in equity to be brought, or permit such to be brought on his or her behalf, either directly or indirectly, on account of the occurrence of any of the aforesaid injuries or loss of property against the aforesaid parties, and agrees to save, indemnify, hold harmless, and defend, at his or her sole expense, any and all of the aforesaid parties from any claims, demands and causes of action which may now or in the future be assorted against the aforesaid parties arising out of, arising from, resulting from, or related to the action by the undersigned while engaging in any of the aforesaid activities. The undersigned understand that Ashland University does not condone or encourage off campus student events where alcohol is served ad is not responsible or liable for these events.

The undersigned further states (1) that he or she is aware of the fact that such activities may be dangerous, (2) that he or she assumes the risk of any injury while participating in such activities, (3) that he or she is of legal age and is competent to sign this Waiver and Release, and (4) that he or she has read and understands all the provisions herein contained. *

This field is required

Dated at Ashland, Ohio *

This field is required

Student Name *

First:
Last:

Enter the text you see in the security image:

This field is required

Enter the text you see in the security image:

456 College Ave.
Ashland, Ohio 44805

thewell@ashland.edu
Phone: (419) 289-5917

Find us on: