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Assumption of Risk and Waiver of Liability Form

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Participant name*

First Last

In consideration of being allowed to try-out at Rose State College, I agree to acknowledge the following:*

1. The risk associated with the mascot is significant, including risk for permanent and temporary injury.

2. I knowingly and freely assume all such risks, both known and unknown except those arising from active and willful negligence. I assume full responsibility for my participation.

3. I will comply with all rules and regulations. If I notice any regulations or rules being broken or any other inherent hazards, I will notify the appropriate authority immediately.

4. I hereby release, indemnify and hold harmless, Rose State College and its employees and students, with respect to any and all injury, loss and damage of personal property, except those arising out of the active and willful negligence.

5. Any liability of Rose State College shall be limited by and subject to the Oklahoma Governmental Tort Claims Act at 51 O.S. § 151 et seq.

I HAVE READ THE RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT.

(Participant Signature)*

DOB*

Date*

Assumption of Risk and Waiver of Liability Form

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