Columbia Basin College

Waiver & Release of Liability

READ CAREFULLY BEFORE SIGNING

Instructions: Read each statement below before completing and signing this Waiver & Release.
Parent/Guardian consent is required for particpants under the age of eighteen (18).

1. Agreement: This Agreement is entered into pursuant to and under the authority granted by the laws
of the State of Washington and any applicable federal laws. In consideration for my participation in
this Columbia Basin College (CBC) sponsored activity I acknowledge, understand and agree to the
following:

2. CBC Policies and Procedures: I will comply with CBC's Safety, Security and Conduct Policies and
Procedures, and provisions of Washington State Administrative Code 132S, including but not limited to
regulations on Parking and Traffic, Health and Safety, Distribution of Materials, and any and all
applicable policies, rules, regulations, and procedures relating to the use of CBC facilities and COVID-19
transmission prevention.

3. Readiness to Participate: I voluntarily and of my own free will elect to participate in activities in the
CBC Fitness Center. I will only participate in those activities for which I believe I am physically and
psychologically prepared to participate.

4. Medical Treatment and Consent: I acknowledge that it is recommended that I obtain a physician’s
approval prior to my participation in any physical activity or use of exercise equipment. In the event
that CBC must obtain on my behalf or provide emergency medical care and/or first aid from a medical
facility, emergency medical staff and/or CBC personnel for my immediate welfare, I give my consent
for the same and shall hold harmless CBC, its employees, volunteers, trustees, directors, officers,
agents, or assigns for any injuries or losses to my person or property arising out of such care.

5. Insurance Statement: I understand that it is my responsibility to obtain appropriate medical insurance

coverage, and/or provide payments for all costs that may arise as a result of illness, injury or damage
related to my participation in this activity.

6. Acknowledgement and Assumption of Risk: I acknowledge that there are certain risks inherent in
engaging in activities in CBC’s Fitness Center. I am fully aware of and freely assume all such risks
both known and unknown, including the risk of illness, catastrophic injury, paralysis and death, as
well as other types of injuries, loss or damages to my person or property associated with
participation in this activity, including but not limited to:
(a) The use of exercise equipment;
(b) Participation in unsupervised activities which are made available in the gym, in the testing
room, and in other individual or group exercise activities;
(c) Possible illness, injuries or medical disorders arising out of exercising at the facilities, such as
exposure to or contracting viruses, including COVID-19, heart attack, stroke, heat stress, or
other injuries which arise out of individual or group sport or exercise activities, such as
sprain, broken bones, torn muscles, torn ligaments, etc;
(d) Accidents which occur within the facilities provided by Columbia Basin College, such as the
locker room, dressing rooms, and showers.

Page 1 of 2
 I acknowledge that these risks may be lessened by adhering to CBC’s policies, rules, regulations, and
procedures. The risk of contracting COVID-19 may also be lessened by being fully vaccinated against
COVID-19. I assume all risks both known and unknown as beyond the control of CBC employees, and
voluntarily and knowingly elect to participate in these activities.

7. Indemnification and Release of Liability: I, for myself and on behalf of my heirs, next-of-kin, spouse,
agents, assigns, and personal representatives, agree to indemnify, release and hold harmless the
State of Washington, CBC, its employees, volunteers, trustees, officers, agents, and assigns against
all claims, causes of action, liability, debts, or demands of any kind, including attorneys fees, which
may arise in connection with my participation in activities in CBC’s Fitness Center, use of CBC’s
equipment or facilities, or care rendered by CBC for my welfare, except in the case of negligence.

8. Jurisdiction and Venue: This Agreement is entered into pursuant to and under the authority granted
by the laws of the State of Washington. The venue for any disputes arising under this Agreement shall
be Franklin County, Washington.

9. Severability: I agree that this Release and Waiver Agreement is governed by the laws of the State of
Washington and is intended to be as broad and inclusive as is permitted by Washington State law, and
that in the event any portion of this agreement is determined to be invalid or unenforceable for any
reason, such invalidity or unenforceability shall not affect the remaining provisions of this Agreement,
which shall remain in full legal force and effect.

My signature below is my acknowledgement that I have read, understood, and agree to the provisions of
this Waiver & Release of Liability, and I sign it freely and voluntarily without inducement.

Japheth Solares
PARTICIPANT’S SIGNATURE: _________________________________________ 04/16/2024
DATE SIGNED: ____________

Japheth Solares
Print Participant's Name ____________________________________________ Student ID #: 202990391
____________

5315 flores ln
Current Address: _________________________ Pasco
City:_______________ State: Wa
_____ 99301
Zip Code: ________

Juan Solares
Emergency Contact: _______________________________________ 5093028786
Phone #: ________________________

FOR PARTICIPANTS UNDER THE AGE OF 18 AT THE TIME OF REGISTRATION:

I, as parent/guardian with legal responsibility for this participant acknowledge that I have read, understood
and consent to this Waiver & Release of Liability and have explained the risks of the activity to the
participant.

Juan Solares
PARENT / GUARDIAN SIGNATURE: _________________________________ DATE SIGNED: 04/16/2024
______________

Juan Solares
Print Parent/Guardian’s Name: __________________________________ Emergency Phone: 5093028786
___________

Columbia Basin College complies with the spirit and letter of state and federal laws, regulations and executive orders pertaining to civil rights, Title IX,
equal opportunity and affirmative action. CBC does not discriminate on the basis of race, color, creed, religion, national or ethnic origin, parental status
or families with children, marital status, sex (gender), sexual orientation, gender identity or expression, age, genetic information, honorably discharged
veteran or military status, or the presence of any sensory, mental, or physical disability, or the use of a trained dog guide or service animal (allowed by
law) by a person with a disability, or any other prohibited basis in its educational programs or employment. Questions or complaints may be referred to
Camilla Glatt, Vice President for Human Resources & Legal Affairs and CBC’s Title IX Coordinator at (509) 542-5548.Individuals with disabilities are
encouraged to participate in all college sponsored events and programs. If you have a disability, and require an accommodation, please contact the
CBC Resource Center at (509) 542-4412 or the Washington Relay Service at 711 or 1-800-833-6384. This notice is available in alternative media by
request.

Page 2 of 2