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1 UNIVERSITY OF CALIFORNIA, SANTA BARBARA (SNARL) SIERRA NEVADA AQUATIC RESEARCH LAB VALENTINE RESERVE is f L i ab ility, A ss ump ti o n o f i R o k , an d I nd e mn ity Agreement v er Wa er : In cons i de r a ti o n o f be i n g pe r m itt e d to v i s it o r Wa rti c i pa te in an y wa y in an y ac ti v it y , i v pa l i n g tr anspo rt a ti on , a t t h e abov e l oca ti on ud , I, f o r myse lf, m y he ir s , personal representatives o r nc i s gn a d o h ere b y rele a se, wa i v e, d isc ha r g e, an d c ov e nan t no t to sue Th e Re gents of the ssi s, niversity of Ca lifornia, its officers, e m plo y ees and agents , and the City of Los Angeles U commissioners, employees and agents ( all of which its Department of Water and Power, officers, from liability f ro m a ny an d a ll c l a i m s , are collectively referred to herein as the “Releasees”) l i n g t h e nc neg li genc e o f the Releasees, r e s u lti n g ud in pe rs ona l i n j u r y , acc i den ts o r ill nesse s i nc l ud i n g dea t h ), an d p r ope rty l os s a ri s i n g fr om , bu t no t li m it e d t o , v i s it a ti o n or pa rti c i pa ti o n in (i po y y in an y ac ti v it y , i nc l ud i n g tr an s wa rt a ti on , a t t h e abov e l oca ti on s . an ss ump ti o n o f R is k s: V isit a ti o n o r pa rti c i pa ti o n ca rri e s w ith it ce rt a in i nhe r en t ris k s t ha t canno t A avo e li m i na t e d r ega r d l es s o f t h e ca re t ake n to e id i n j u ri e s. Th e s pec ific ris k s va ry f r o m on e b ti v ity to ano t he r, bu t t h e ris k s r ang e fr o m 1 ) m i no r i n j u ri e s s uc h a s s c r a t che s, b r u is e s, ac an d s r a i n s to 2 ) ma j o r i n j u ri e s s uc h a s ey e i n j u ry o r l o ss o f si gh t, j o i n t o r p i n j u ri es , hea rt a tt acks , back an concuss i on s to 3 ) ca t a str oph ic i n j u d e s i nc l ud i n g pa r a l y sis and dea t h. ri I hav e re a d t h e p re v i ou s pa r ag r aph s an d I know , und erst and , an d app reci a te t he se t an o t he r r is k s t ha t ar e i nheren t in v i s it a ti o n o r pa rti c i pa ti on . I he r eb y a ss er d t hat m y visitation or p art i c i pa ti o n is vo l un t ar y an d t ha t I know i ng ly assum e a ll suc h r i sks. D I nd e mn ific a ti o n an d Ho ld Ha r m less: I a lso ag r e e to I NDEMN I F Y AN D HOL the Releasees HARMLES S fr o m an y an d a ll c l a i m s, ac ti on s, s u its, p r ocedu r e s, co sts, expen ses, d a m a g es a n d ti b i n cl ud i n g att o r n e y ’s fees , b r ough t as a r e s u lt o f m y i nvo l vemen t in v isit a o n o r lia ilities, rti i pa ti o n an d to r e i mbu r s e c he m f o r an y such expense s i ncu rr ed. pa t e v er ab ility: Th e undersigned further expressly agrees that the foregoing wa i ve r an d assump ti o n S t f ri o s ag r eemen t is i n t ende d to b e a s b r oa d an d i nc l us i v e a s is pe r m itt e d b y t he l a w o f t h e S a te sk o Ca lif o r n ia an d t ha t if an y po rti o n t he r eo f is f he ld i nva li d , it is ag r ee d t ha t t h e ba l anc e sha ll, no t w it hs t and i ng , con ti nu e in f u ll l ega l f o r c e an d e ff ec t. Acknow edgmen t o f Under st and i ng : I hav e r ea d t h is wa i ve r o f li ab ilit y , a ss ump ti o n o f ris k , l an i ndemn ity ag r eemen t, f u lly unde rst an d its t e r m d an d und erst an d t ha t I a m g i v i ng u p s, s ub st an ti a l ri gh ts, i n cl ud i n g m y ri gh t to s u e . I acknow l edg e t ha t I a m s i gn i n g t he ag r eemen t i fr an d vo l un t a ril y , an d i n t en d b y m y s ly gna t ur e to b e a comp l e te an d un c ond iti ona l rele a se ee o f a ll li ab ility to t h e g r ea t es t ex t en t a ll owe d b y l aw . _________________________ _ _____ ______________________________ _____ Date Signature of Minor’s Parent/Guardian Signature of Participant Date Participant’s Age (If M i nor) _________ ___ _________________________________ ___ _ Participant’s Name (Print) Mailing Address: _______________________ Email:____________________________ ___ _ ___ _ _ Phone: ____________________________ _ _______________________ ___ 3 /2012 NRS

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