As a student in the course (course number) * with faculty member (faculty member name) * at Regis Unviersity, I (your name) * have chosen to parcticipate in the following service/community based learning project with (name of community organization) * This course(s) will require interaction with the local community, through direct service, community-based research, advocacy, consciousness-raising, participant observation, interviews, and/or field trips. Regis University is not responsible for providing legal assistance to students who violate laws or service providers' regulations. My choice to participate in service/community-based learning carries with it certain risks and responsibilities, some of which are detailed below. I recognize that I am expected to conduct myself professionally at all times while engaged in service/community-based learning, knowing that people will associate me and my behavior directly with Regis University. While participating in a Service-Learning or Community-Based Learning project, it is important that I use my common sense in caring for myself and my property. During my entire learning experience, should I be engaged in direct service, I am responsible to the local organization with whom I am serving and not to Regis University. If I am engaged in any other type of service/community-based learning other than direct service, I am responsible to myself. As is assumed with any experience in life, there is risk that I could be injured, become sick, be a victim of a crime, be involved in an accident, or lose my personal property. It is my responsibility to take every practical precaution to ensure that my experience will be safe and enjoyable, understanding that no guarantees can be made regarding my personal safety, the well-being of my personal belongings, or the nature of my experience. By signing online below, I hereby acknowledge that I have had the opportunity to determine the nature of the activity and the manner in which it will be conducted, including the risks associated with my participation. Having received knowledge, information, and recommendations concerning this activity or having waived the right to obtain additional information and knowledge, I hereby personally assume all risks in connection with my service/community-based learning project. I release Regis University, its instructors, agents, employees, operators, officers and trustees from liability for any harm, injury or damage which may befall me while engaged in this activity, traveling to or from the activity site, or arising from my presence at the site or in the site vicinity, including all health, emergency health treatment and other risks connected therein, whether foreseen or unforeseen, and whether arising from the negligence of Regis University, its instructors, agents employees, volunteers, operators, officers and trustees. I further agree to save and hold harmless the University and the above persons from any claim by me, by my family and estate, my heirs or assigns, personal representatives, and insurers arising out of this activity and circumstances and my participation in it. It is my intent to release any and all claims of any kind whatsoever against Regis University, its instructors, agents, employees, operators, officers, trustees, insurers, and indemnitors. I have read this document in its entirety and understand its contents and import. I understand that the terms of this document are contractual and not a mere recital. By clicking on "I submit," I understand this is the equivalent of my written signature. I have done so as my own free act.