Because participation in the Campus Police Ride-Along Program (the “Program”) may expose the participant (the “Participant”) to danger, violence or other hazardous conditions, it is the policy of Wake Forest University (“Wake Forest”) to require all Participants in the Program to execute this Release and Assumption of Risk Agreement (this “Agreement”).

Risks: By signing below, I acknowledge that I fully recognize and appreciate the dangers and hazards I may be exposed to while riding in a patrol car, observing any operation, or participating in the Program in any manner. Some of the risks include, but are not limited to, hazards of travel by car, exposure to violent or dangerous situations, the potential of injury as a result of the criminal, negligent, or injurious acts of others, and injury resulting in serious, permanent physical disability or even death. I understand and assume these risks.

Voluntary Participation: I voluntarily choose to participate in this Program and I voluntarily assume all risks associated with taking part in this Program.

Release of Claims: Knowing the risks described above, I hereby assume all risks and responsibilities surrounding my participation in the Program and I release Wake Forest, its campus police department, its officers, trustees, agents, and employees from any and all liabilities, claims, or demands for damages for personal injury, disability, or other loss, damage or injury of any kind that I may suffer or sustain as a result of my participation in the Program, unless such injury or damage is caused by the gross negligence of Wake Forest or its employees.

Program Participation Conditions:

Binding Effect; Construction; Forum: I acknowledge that this Agreement will be binding on me, as well as members of my family, my spouse, heirs, assigns, and personal representatives. This Agreement will be construed under the laws of the State of North Carolina, which will be the forum for any lawsuits filed under or incident to this Agreement or to the Program.

Campus Ride-Along

MM slash DD slash YYYY
Sex
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY