Coastal Carolina Liability Release Form
THIS IS A RELEASE OF LEGAL RIGHTS--- READ AND BE CERTAIN YOU
UNDERSTAND IT BEFORED SIGNING.
I am a student at Coastal Carolina University. I desire to participate in
______________________________________, which involves a trip to
(Name of Event)
______________________________________.
(Location)
I agree to assume all the risks and responsibilities of this trip, including the
travel to and from __________________________________and the activities
while there.
I do release, waive, forever discharge, and covenant, not to sue Coastal
Carolina University, its governing board, officers, agents, and employees from
and against any and all liability for any harm, injury, damage, claims,
demands, actions, causes of action, costs, and expenses of any nature that I
or my property may suffer from my participation in this activity and trip.
This document shall bind the members of my family, my estate, heirs,
administrators, personal representatives, or assigns and anyone else who
might have a derivative cause of action from any injury to me or my property.
I am at least eighteen (18) years of age and fully competent to sign this
document.
________________________________
_________________________
Signature
Typed Name
________________________________
_________________________
Witness
Date
If the student is not at least eighteen (18) years of age, the signature of a
parent or guardian is required.
_________________________________
_________________________
Signature of Parent or Guardian
Date
_________________________________
Witness