Irvine Valley College Community Education and College For Kids
Registration and Release of Liability Form

Acknowledgement of Voluntary Participation
Participant voluntarily wishes to participate in the above referenced Irvine Valley College Community Education
class(es) and chooses to do so despite the possible dangers and inherent risks.

Code of Conduct
Participant fully understands that he/she is to abide by all rules and regulations, including and not limited to
District policies and procedures governing conduct during participation in the above referenced class(es). Any
violation of these rules and regulations may result in participant’s dismissal from the class with any expenses
incurred being participant’s responsibility.

Internet Usage
Participant or Parent/Legal Guardian of Participant understands that South Orange County Community College
District, Irvine Valley College Community Education is not liable for any actions resulting from the misuse of
computers. Any misuse of computers must be reported to the Irvine Valley College Dean of Extended Education.

Medical Consent
In the event of an emergency and participant is injured or becomes ill during his/her participation in the
above mentioned Community Education class(es), participant or Parent/Legal Guardian of Participant hereby
authorizes and consents to x-ray, examination, anesthetic, medical, dental, or surgical diagnosis or treatment,
emergency medical treatment, and hospital care from a licensed physician and/or surgeon, as well as
emergency transportation as deemed necessary for my safety and welfare. Participant understands that all
resulting expenses will be his/her responsibility. In addition, participant asks Irvine Valley College Community
Education to call his/her emergency contact listed above.

Photograph/Video Release
Participant understands that Irvine Valley College Community Education may take photographs and/or video of
participant during his/her participation in this Community Education class which may be used for the purposes
of marketing and/or publicity of the program in print or on any social media platform.

Release Of Liability
In consideration of participant’s request for voluntary participation and registration in the above referenced
Irvine Valley College Community Education class(es), and to the extent permitted by law, participant, his/her
heirs, executors, administrators or assigns hereby agree to release, defend, indemnify, and hold harmless South
Orange County Community College District, its Board of Trustees, officers, agents, employees, and volunteers
from any and all claims, action, demands, damages, costs, losses, or expenses, including reasonable attorney’s
fees of any kind or nature whether related to bodily injury, property damage, or loss of life, except to the extent
that such loss or damage is caused by the negligence act or omission and willful misconduct of South Orange
County Community College District, its Board of Trustees, its officers, agents, employees, and volunteers and
no negligence on the part of the participant.

Participant or parent/legal guardian of participant fully understands the above terms and the legal
consequences of signing this registration and release of liability form. Participant or parent/legal guardian of
participant agrees to this freely and voluntarily.