MIME-Version: 1.0 Content-Location: file:///C:/8D38C6E9/GeneralRelaseofAllClaimsForm(State2006).htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" California State Science Olympiad

California State Science Olympiad

General Release of All Claims

Tesoro High School & Capistrano Unified School District=

 

In consideration of m= y participation in the voluntary activity described below, I hereby agree to assume all risk and any kind of injury or damage I may receive or sustain as a result of my participation, including property damage, personal injury or death. Accordingly, by signing below, I hereby completely release and hold harmless and forever discharge the Capistrano Unified School District, Tesoro High School, and the State Science Olympiad; and the employees, officers, volunt= eers and agent of each of them, from liability or responsibility for any and all claims, damages, injuries, losses or cause of action that may result form or arise out of my participation in the described activities. I also understand and agree that this release shall be binding as against by heirs and assign= s.

 

Date:    April 1, 2006

 

Field Trip, Voluntary= or Extracurricular Activity: California State Science Olympiad

 

Location:  Campus of Tesoro= High School, 1 Tesoro Creek, Las <= st1:place w:st=3D"on">Flores, CA 29688        &= nbsp;

 

Description of Event Activities:  Teams for Students, Grades 6 through 12, will participate in a variety of science oriented events.

 

Types of Risks Involved with the Activity: Personal injury or death. Personal pr= operty damage. Personal property loss.

 

Participant Name (Please Print):

 

___________________________________________

 

 

School: _____= ___________________________  County: ________________________

 

Participant Signature: _________________________________ Date ______________

 

Name of Parent or Legal Guardian (if applicable):  Please Print

 

________________________________________

 

Signature of Parent or Legal Guardian (if applicable)

 

___________________________________________

Return to: Ed Rodevich or Sharon Writer, Directors , California State Science Olympiad

Return by= :  Deliver all team forms as a packet= to the Registration Desk on April 1, 2006