County _________________________________________ Club/Unit ___________________________
WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
Waiver: In consideration of being permitted to participate in any way in California 4-H Youth Development
, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, Activities and Projects
discharge, and covenant not to sue The Regents of the University of California, its officers, employees, and agents from liability from any and all claims including the negligence of The Regents of the University of California, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in California 4-H Youth Development Activities
. and Projects
Assumption of Risks: Participation in California 4-H Youth Development Activities and Projects carries with
it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains; 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions; and 3) catastrophic injuries including paralysis and death.
I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in California 4-H Youth Development Activities and Projects. I hereby assert that my
participation is voluntary and that I knowingly assume all such risks.
Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD The Regents of the University
of California HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in California 4-H Youth Development
and to reimburse them for any such expenses incurred. Activities and Projects,
Severability: The undersigned further expressly agrees that the foregoing Waiver and Assumption of Risk Agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
Acknowledgment of Understanding: I have read this Waiver of Liability, Assumption of Risk, and Indemnity Agreement, fully understand its terms, and understand that I am giving up substantial rights, including my
right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to
be a complete and unconditional release of all liability to the greatest extent allowed by law.
Signature of Parent/Guardian of Minor or Adult Participant Date
Age (if minor) __________________
HIS WAIVER APPLIES TO ALL CALIFORNIA 4-H YOUTH DEVELOPMENT ACTIVITIES AND PROJECTS INCLUDING, BUT T
NOT LIMITED TO PROJECT MEETINGS, CLUB MEETINGS, EDUCATIONAL FIELD DAYS, FIELD TRIPS, CAMPS, EXCHANGE PROGRAMS, FUNDRAISERS, COMMUNITY SERVICE ACTIVITIES, VOLUNTEER TRAININGS, FAIRS, AND PROJECTS.
LIST OF CALIFORNIA 4-H PROJECTS
Civic Engagement Animals Environmental Education and Earth Sciences Citizenship Alpacas 4-H Camping (Overnight) Domestic Exchanges Animal Husbandry Astronomy Economics & Marketing Bees Climatology Global Education Birds Environmental Stewardship International Exchanges Birds - Emu & Ostrich Fishing and Fly Tying Service Learning Birds - Exotic Forestry Community Pride & Community Service Birds - Poultry Oceanography Birds - Turkey Outdoor Adventure Communications and Expressive Arts Cats Science Literacy Arts & Crafts Cattle Soil & Water Conservation Calligraphy Cattle - Beef Wildlife Ceramics & Clay Arts Cattle - Dairy Communications Cavies Physical Sciences Cultural Arts Dog Energy Management Dance Goats Geology Drama & Theater Arts Goats Angora Graphic Arts Goats Dairy Plant Science Hobbies Goats Meat Field Crops and Management Leathercraft Goats Nigerian Fruits, Nuts and Berries Music & Instruments Goats Pack Indoor and Mini Gardens Photography Goats Pygmy Junior Master Gardener Public Speaking Guide Dogs and Service Animals Ornamental Horticulture Scrapbooking Equine - Horse & Ponies Sugarbeets Sign Language Livestock Judging Vegetable Gardens and Crops Leadership and Personal Development Llamas All Star Leadership Pets and Small Animals Technology and Engineering Beginning 4-H Rabbits Aerospace & Rocketry Career Exploration Reptiles ATV & Dirt Biking Group-Determined Sheep Automotive Hi 4-H Sheep Breeding Bicycles Leadership Development Sheep Market Website Design Primary Members (Mini Member & Cloverbud) Swine Computers & Internet Record Keeping Swine Breeding Construction & Building Self-Determined Swine Market Electricity & Electronics Therapeutic Animals Farm Machinery Health Biological Sciences General Engineering Baking and Breadmaking Embryology GIS/GPS Cake Decorating Entomology Metal Working Foods Marine Biology Robotics Foods - Beginning Veterinary Science Shooting Sports - Archery Foods - Dairy Zoology Shooting Sports - Hunting Foods - International Shooting Sports - Muzzle Loading Foods - Nutrition Consumer and Family Sciences Shooting Sports - Pistol Foods - Preservation Child Development and Care Shooting Sports - Rifle Health and Physical Fitness Clothing & Textiles Shooting Sports - Shotgun Sports Consumer Education Small Engines Fashion Revue Video Production Personal Safety Fiber Arts Woodworking CPR & First Aid Flower Arranging Emergency Preparation & Management Home & Personal Management Safety Home Arts & Furnishings Quilting Table Setting