• Placer Advanced Robotics and Technology

  • RELEASE OF LIABILITY, WAIVER OF RIGHT TO SUE, ASSUMPTION OF RISK, AGREEMENT TO PAY CLAIMS, AND MEDIA CONSENT

    This is a Release of Liability, Waiver of Right to Sue, Assumption of Risk, Agreement to Pay Claims, and Media Consent Agreement (“Agreement”) between Placer Advanced Robotics and Technology (doing business as Placer Robotics), and its officers, directors, volunteers, advisors, mentors, employees, and Designees (collectively, “Placer Robotics”), and Participant (collectively referred to herein as “I”, “me”, “my” and “Participant”). “Designees” includes those persons or entities (including third parties not affiliated with Placer Robotics) managing, contracting, sponsoring, hosting, conducting, evaluating, or publicizing (including individuals and third-party entities working with Placer Robotics). “Program” means any activity, class, camp, team, meeting, competition, workshop, or event operated, supported, hosted, sponsored, or affiliated with Placer Robotics, including those where Placer Robotics provides equipment, volunteers, or technical resources. This includes events not directly operated by Placer Robotics but where Placer Robotics provides equipment, fields, volunteers, or technical support; in such cases, Placer Robotics disclaims responsibility for supervision, conduct, and safety compliance. As used in this agreement, Participant shall mean any individual, Parent or Guardian of a Participant under 18 years of age, student, mentor, advisor, volunteer, or other person or entity involved in a Placer Robotics Program.

    ASSUMPTION OF RISK
    I am voluntarily participating in a Program. I understand and acknowledge that participating in robotics activities involves inherent risks, including but not limited to: building, lifting, and using electrical or mechanical robots; operating hand and power tools; working with electrical components, sharp edges, hazardous materials, and batteries; as well as traveling to and from events and participating in public competitions. These risks may result in injury — including, without limitation, serious bodily harm, loss of sight, or even death — as well as property damage. I understand that such outcomes may arise from my own actions or inactions, the actions or negligence of others, conditions of travel, or the condition of the Program location(s). I further acknowledge that some activities may take place in shared facilities or busy environments, and I accept the additional risks such settings may pose.

    I acknowledge that participation in Placer Robotics programs may expose me to communicable diseases, including but not limited to COVID-19, flu, or other viruses. I voluntarily assume all risks related to such exposure, including illness, permanent disability, or death. I understand that these risks may result from my own actions or inactions, or those of others, including but not limited to Placer Robotics, program participants, volunteers, and their families. 

    WAIVER AND RELEASE
    In consideration for being allowed to participate in the Program, I, on behalf of myself and my heirs, next of kin, personal representatives, successors, and assigns, agree not to make any claim against, or sue, Placer Advanced Robotics and Technology (doing business as Placer Robotics), its officers, directors, employees, volunteers, agents, or designees, for any injury, illness, death, or property damage arising out of or relating to my participation in the Program. This includes, without limitation, any claim arising from travel to or from Program activities, or from any alleged negligence, including failure to properly screen, train, or supervise coaches, mentors, volunteers, or staff.

    INDEMNIFICATION
    Furthermore, I, and my heirs, next of kin, personal representatives, successors, and assigns, hereby release, discharge, and hold harmless Placer Advanced Robotics and Technology (doing business as Placer Robotics), its officers, directors, employees, volunteers, agents, and designees, from any and all actions, claims, demands, losses, liabilities, costs, and expenses (including attorneys’ fees), whether in law or equity, known or unknown, that may arise from or relate to any injury, illness, death, or property damage sustained as a result of participation in the Program.

    I further agree to indemnify, defend, and hold harmless Placer Advanced Robotics and Technology (doing business as Placer Robotics), including its officers, directors, employees, volunteers, agents, and designees, from and against any and all claims, demands, actions, damages, losses, liabilities, costs, or expenses (including attorneys’ fees and court costs), arising out of or related to my participation in the Program, including any claims brought by third parties due to my conduct or participation. This indemnification includes, but is not limited to, claims of negligence, personal injury, property damage, or violation of law.

    MEDICAL AND EMERGENCY CARE
    In the event I become injured or ill while participating in any Program activity, I authorize Placer Advanced Robotics and Technology (doing business as Placer Robotics), its staff, volunteers, or designees to render or secure emergency first aid, and if necessary, to transport me to an appropriate medical facility or summon emergency medical services. I understand that Placer Robotics is not obligated to provide medical care and makes no guarantee as to the availability of such services. I assume all financial responsibility for any medical care received and agree to hold Placer Robotics harmless from any liability arising from such care or lack thereof.

    MEDIA CONSENT AND RELEASE
    I grant Placer Advanced Robotics and Technology (doing business as Placer Robotics), and its authorized representatives, the right to take photographs, video, or audio recordings of me and/or my child during Program activities. I authorize Placer Robotics to use, reproduce, and publish these recordings in any format (including print, online, and social media) for educational, promotional, and documentation purposes. I waive any right to inspect or approve the finished materials and release Placer Robotics from any claims or liability arising from their lawful use, including claims for compensation.

    ACKNOWLEDGMENT, WAIVER OF UNKNOWN CLAIMS & SIGNATURE
    I understand the legal consequences of signing this document, including (a) releasing Placer Robotics from all liability, (b) promising not to sue Placer Robotics, and (c) assuming all risks of participating in the Programs, including travel to, from, and during Program activities. I agree that this waiver is intended to be as broad and inclusive as permitted by California law. If any provision of this agreement is held invalid, the remaining provisions shall remain in full force and effect.

    This Agreement shall be governed by and interpreted in accordance with the laws of the State of California. Any legal action or proceeding arising under or with respect to this Agreement shall be brought exclusively in a court of competent jurisdiction located in Placer County, California.

    I acknowledge and agree that this release applies to all claims for death, injury, damage, or loss to my person or property, whether known or unknown, foreseen or unforeseen. I expressly waive the protections of California Civil Code Section 1542, which states: “A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor.” I understand that this means I am giving up rights to claims that may exist now but of which I am not yet aware.

     

  • Powered by Jotform SignClear
  • FINAL ACKNOWLEDGMENT & SIGNATURE: I have read this Agreement in its entirety, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing this agreement freely and voluntarily, and intend by my signature to give a complete and unconditional release of all liability to the greatest extent allowed by law. No other representations concerning the legal effect of this document have been made to me.

    If Participant is under 18 years of age: I am the parent or legal guardian of the Participant. I understand the legal consequences of signing this document, including (a) releasing Placer Robotics from all liability on my and the Participant’s behalf, (b) promising not to sue on my and the Participant’s behalf, and (c) assuming all risks of the Participant’s participation in this Program. I allow the Participant to participate and agree to be bound by this agreement and responsible for the Participant’s obligations and conduct as described above.

     

     

  •  - -
  • Powered by Jotform SignClear
  •  

    Internal Reference: Rev. June25
     

  • Should be Empty: