Sample agreement courtesy of Florida State University

STATEMENT OF VOLUNTARY CONSENT, GENERAL RELEASE AND WAIVER OF LIABILITY

In consideration of my voluntary participation in the Career Experience Opportunities (CEO) Program, an office of The Career Center, and for the good and valuable consideration received by me, I, ____________________________________________ assume all responsibility for any dangers, risks or injuries inherent in participating in the CEO office internship, co-op, summer employment or externship (SpringWork) programs. I further hereby hold harmless and release and forever discharge The Florida State University, The Division of Student Affairs, The Career Center/CEO Program, the FSU Board of Trustees, the Board of Governors, and their successors, from any and all claims and demands whatsoever, which the undersigned, and their heirs, representatives, executors, administrators and personal representatives thereof, or any person acting in behalf of their respective agents, have or may have against any or all of the aforementioned persons or their successors, by reason of accident, illness, injury, property loss or damage or any other consequences arising or resulting directly or indirectly from any participation in the CEO programs or activities.

I hereby declare and represent that in making, executing and tendering this Statement of Voluntary Consent, General Release and Waiver of Liability, I fully understand and acknowledge by my signature, that I am relying wholly upon my own judgment, belief and knowledge of the circumstances involved in my participation in the above described programs, and I have read this Statement, understood its contents, and execute it of my own free will and choice.

In Witness Whereof, I have signed this document on this the ______ day of _________________, 20_____, in Tallahassee, Leon County, Florida.

_________________________ ______________________________

Witness (CEO Staff) SIGNATURE OF STUDENT