THIS CONSENT IS GIVEN FREELY AND VOLUNTARILY BY ME WITHOUT COERCION, DURESS, THREAT, OR PROMISE OF ANY KIND. I CERTIFY THAT I UNDERSTAND AND HAVE READ THE ABOVE CAREFULLY BEFORE SIGNING. I UNDERSTAND THAT I AM NOT SUBJECT TO ANY ADVERSE ACTION IF I DO NOT SIGN.

I, hereby acknowledge my awareness that my participation in Continuing Education Programs may involve activities which include, but are not limited to, the following: climbing, dancing, exercising, jumping, kneeling, lifting, running, sliding, stretching, swimming, swinging (sports equipment), tumbling, and walking.

I also understand that my participation in the aforementioned activities may expose me to risks of property damage and bodily or personal injury, including injury that may be fatal, and any one or more of the following: injury from falls; inclement weather; injury from animals and/or insects; bites; cuts; stings; burns; abrasions and puncture wounds; broken bones; muscle strains and sprains; heat exhaustion; concussions; drowning; and exposure to contagious diseases which may cause death. In addition, I understand that I may be exposed to other risks that may not be foreseeable. I have been informed and understand that there are inherent risks and dangers involved in this activity. I knowingly and freely assume any and all such risks and voluntarily participate in this activity, and understand it is my sole responsibility to participate only in those activities for which I have the prerequisite skills, qualifications, and training.

In addition, I understand that Georgia College & State University nor the Board of Regents of the University System of Georgia provide insurance coverage for my participation in Continuing Education Programs. I also understand it is highly recommended I obtain my own accident and health insurance prior to participating, and that I am solely responsible for any hospital or other costs arising out of any bodily injury, or property damage sustained through my voluntary participation in these activities.
In exchange for use of facilities, equipment, materials, supplies, and being allowed to participate in this event, I hereby release and forever discharge the Georgia College & State University and the Board of Regents of the University System of Georgia, and their members individually and their officers, agents and employees from any and all claims, demands, rights, expenses, actions, and causes of action, of whatever kind, arising from or by reason of any personal injury, bodily injury, property damage, or the consequences thereof, whether foreseeable or not, resulting from or in any way connected with my participation in this activity.

I further COVENANT and agree that for the consideration stated above, I will FOREVER HOLD HARMLESS and will not take legal action against Georgia College & State University or the Board of Regents of the University System of Georgia, its members individually, and their officers, agents, and employees for any claim for damages arising or growing out of my participation in this activity, whether caused by negligence or otherwise.

*I CONSENT TO AND AUTHORIZE the use by the Board of Regents of the University System of Georgia by and on behalf of Georgia College & State University, its officers and employees (University), of my image, voice, and/or likeness for any and all purposes through any media now and in the future. I hereby WAIVE THE RIGHT to inspect or approve my image or any finished materials that incorporate my image. I understand and agree the University will hold copyright to the image and that the image may be distributed to other organizations or individuals for use in publication. I also understand that I will receive no compensation in connection with the use of my image.