Ateneo de Naga University PHYSICAL EDUCATION DEPARTMENT College of Education INTRAMURALS 2017: SILYAB LIABILITY WAIVER FORM. To the best of my knowledge, | am physically fit, have trained significantly, and fully able to participate in the Ateneo de Naga University College Intramurals. I recognize that the University is committed to exercise due diligence to ensure my safety and well-being. However, I understand that the University is not an insurer of all risks and eventualities. Thereby RELEASE, WAIVE and DISCHARGE the event organizer, Atenco de Naga University and/or any persons involved in the implementation of the aforementioned activity from any and all liabilities, claims, demands, actions and causes of actions of any kind whatsoever related to injury or damage, while traveling to/from activities, participating in such a oF while in, on ‘or upon the premises where the activities are being conducted Itis my express intent that this Release and Hold Harmless Agreement shall bind the members of my family, and shall be deemed RELEASE, WAIVER, DISCHARGE and CONVENTION TO SUE the above-named. I hereby further agree that this Waiver of Liability and Hold Harmless ‘Agreement shall be constructed in accordance with the laws of the Republic of the Philippines, T understand that this waiver shall not prejudice my claim to the Student Accident Insurance. In signing this release, I acknowledge and represent that I HAVE READ THE FOREGOING Waiver of Liability and Hold Harmless Agreement, UNDERSTAND IT AND SIGN I VOLUNTARILY as my own free act and deed; no oral representation, apart from the forgoing written agreement have been made, and 1 EXECU FOR FULL, ADEQUATE AND COMPLETE CONSIDERATION FUL TO BE BOUND BY THE SAME. |GNATURE: —— : — PRINTED NAME: M/CHAEL NEL ROSARIO. pave: AUGUST 31, 2017 (CHESS) _ Printed Name and Signature of Parent/Guardian if participant is under 18 years old: