To enroll as a member and take part in the programs and activities of the Osher Institute, you must read and sign this form. By selecting the box below, you acknowledge that you have read and understand the Auburn University Policies. Your acknowledgement is required for you to proceed.
Media Release Statement for OLLI Members
For valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I hereby grant permission to Auburn University, and those acting under its authority, to:
- a. Record my participation and appearance in video, audio, photographs, or other media formats.
- b. Use my name, likeness, voice, and biographical information in connection with these recordings.
- c. Exhibit or distribute these recordings, in whole or in part, without restriction for any educational, promotional, or other purposes deemed appropriate by Auburn University and its authorized representatives.
I hereby release Auburn University and those acting under its authority from any and all claims of damage, including but not limited to claims of libel, slander, invasion of privacy, or any other claims arising from or related to the use of these recordings.
VOLUNTARY WAIVER, ASSUMPTION OF RISKS, HOLD HARMLESS AND INFORMED CONSENT
Osher Lifelong Learning Institute at Auburn University 2025-26 Academic Year (August 1, 2025-July 31, 2026)
PLEASE READ THIS DOCUMENT CAREFULLY BEFORE SIGNING. THIS IS A LEGALLY BINDING DOCUMENT. THIS COMPLETED AND SIGNED FORM MUST BE SUBMITTED BEFORE ANY PERSON IS ALLOWED TO PARTICIPATE IN OLLI Courses.
I, the undersigned, wish to participate in the Auburn University Osher Lifelong Learning Institute and Auburn University Outreach courses (hereafter “Coursesâ€) on the dates as indicated above and, in consideration for my participation, I hereby agree as follows:
I acknowledge, understand and appreciate that as part of my participation in OLLI Courses, there are dangers, hazards and inherent risks to which I may be exposed, including the risk of serious physical injury, temporary or permanent disability, and death, as well as economic and property loss. The dangers, hazards and risks may arise from my own actions, inactions, or negligence as well as from the actions, inactions or negligence of others, or the condition of the premises. I also acknowledge and understand that there may be other dangers, hazards or risks not presently known or reasonably foreseeable. Participation in OLLI Courses includes travel to and from the Course. Therefore, I voluntarily accept and assume all risk of injury, loss of life, or damage to property arising out of training, preparing, participating, and traveling to, from, or during OLLI Courses, whether on my own or as provided by Auburn University.
I hereby release Auburn University, its Board of Trustees (collectively and individually), Administration, Faculty, Staff, Student Leaders, and all other officers, directors, employees and agents (hereafter “Auburnâ€) from any and all liability as to any right of action that may accrue to my heirs or representatives for any injury that I may suffer while training, preparing, participating and/or traveling to or from OLLI Courses. This agreement is binding on my heirs and assigns.
I furthermore release, indemnify and hold harmless Auburn from and against any and all liability, actions, debts, claims and demands of every kind whatsoever, specifically including, but not limited to, any claim for negligence or negligent acts or omissions and any present or future claim, loss or liability for injury to person or property that I may suffer, for which I may be liable to any other person, that may or does arise out of my participation in OLLI Courses. I understand that Auburn accepts no responsibility for my personal property.
In the event of an accident or serious illness, I hereby authorize representatives of Auburn to obtain medical treatment for me and on my behalf. I hereby hold harmless and agree to indemnify Auburn from any claims, causes of action, damages and/or liabilities, arising out of or resulting from said medical treatment. I understand that Auburn do not provide any medical, dental or life insurance to cover bodily injury, illness or death; nor insurance for personal property damage or loss; nor insurance for liability arising out of my negligent acts or omissions; and I acknowledge that I am completely responsible for my own insurance or financial resources to cover expenses related to these things.
This Agreement shall be governed by and construed under the laws of Alabama. I agree that any legal action or proceeding relating to this Agreement, or arising out of any injury, death, damage or loss as a result of my participation in any part of OLLI Courses, shall be brought only in Lee County, Alabama.
I, the undersigned, have been given ample time to read and understand this Agreement, and fully accept its contents and conditions and agree to them by signing this Agreement voluntarily. I understand that I am giving up substantial rights (including my right to sue) and acknowledge that I am signing this document freely and voluntarily, and intend by my signature to provide a complete and unconditional release of all liability to the greatest extent allowed by law. My signature on this document is intended to bind not only myself but also my successors, heirs, representatives, administrators, and assigns. The information I have provided is disclosed accurately and truthfully.
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