Name of Person Giving Release:ญญญญญญญญญญญญญญญญญญญ_____________________________________
1. I desire to engage in academic work at Bryn Mawr College ("the College") as a Laboratory Research Associate ("LRA"), and I fully appreciate the dangers, hazards and risks inherent in my activities, including but not limited to exposures to hazards in laboratories under routine and emergency conditions, which could include serious or even mortal injuries and property damage.
2. Knowing the dangers, hazards, and risks of such activities, and in consideration of being permitted to participate as an LRA, on behalf of myself, my family, heirs, and personal representatives, I, the undersigned, agree to assume all the risks and responsibilities surrounding my participation as an LRA, and in advance release, waive, forever discharge, and covenant not to sue the College, its governing board, officers, agents, employees, and any students acting as employees ("Releasees"), from and against any and all liability for any harm, injury, damage, claims, demands, actions, causes of action, costs, and expenses of any nature that I may have or that may hereafter accrue to me, arising out of or related to any loss, damage, or injury, including but not limited to suffering and death, that may be sustained by me or by any property belonging to me, whether caused by the negligence or carelessness of the Releasees, or otherwise, while on, or in transit to or from the premises where my work as an LRA occurs.
3. I understand and agree that Releasees are granted permission to authorize emergency medical treatment, if necessary, and that such action by Releasees shall be subject to the terms of this Release. I understand and agree that Releasees assume no responsibility for any injury or damage which might arise out of or in connection with such authorized emergency medical treatment.
4. It is my express intent that this Release shall bind the members of my family and spouse (if any), if I am alive, and my estate, family, heirs, administrators, personal representatives, or assigns, if I am deceased. I further agree to save and hold harmless, indemnify, and defend Releasees from any claim by me or my family, arising out of my participation as an LRA.
5. In signing this Release, I acknowledge and represent that I have fully informed myself of the content of the Release by reading it before I sign it, and I understand that I sign this document as my own free act; no oral representations, statements, or inducements, apart from the foregoing written statement, have been made. I understand that I am not required to participate as an LRA, but I desire to do so, despite the possible dangers and risks. I further state that I am at least eighteen (18) years of age and fully competent to sign this Release; and that I execute this Release for full, adequate and complete consideration fully intending to be bound by it. .
6. I further agree that this Release shall be construed in accordance with the laws of the Commonwealth of Pennsylvania. If any term or provision of this Release shall be held illegal, unenforceable, or in conflict with any law governing this Release the validity of the remaining portions shall not be affected hereby.
Signature:ญญญญญญญญญญญญญญญญญญญ_____________________________________
Printed Name:ญญญญญญญญญญญญญญญญญญญ_____________________________________
Date:ญญญญญญญญญญญญญญญญญญญ_____________________________________
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Last updated August 1999