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Risk Acknowledgement and Consent Form

The participant acknowledges that they are participating in an event at National University of Singapore at their own risk. They agree to comply with all rules and instructions for the event. The participant acknowledges that NUS is not liable for any injuries sustained during the event unless due to NUS's negligence. For participants under 18, consent is also provided by the parent or legal guardian.

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262 views

Risk Acknowledgement and Consent Form

The participant acknowledges that they are participating in an event at National University of Singapore at their own risk. They agree to comply with all rules and instructions for the event. The participant acknowledges that NUS is not liable for any injuries sustained during the event unless due to NUS's negligence. For participants under 18, consent is also provided by the parent or legal guardian.

Uploaded by

heunju
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Risk Acknowledgement and Consent Form

To: National University of Singapore

Dear Sirs,

1. I, , of
name of participant participant’s address

wish to participate in the


name of event

held at on (“the Event”).


venue date of event

2. While reasonable precaution and care will be taken by NUS to ensure participants’ safety, I understand
that I am taking part in the Event at my own risk. I have also been informed by the event organizers of
any risks involved.

3. In consideration of NUS allowing me to participate in the Event, I,

(a) agree to comply with the rules, regulations, instructions, and directions given for the Event, will
co-operate fully with NUS and conduct myself at all times in a safe and responsible manner while
participating in the Event, failing which I acknowledge and agree that NUS has the right at any
time to withdraw my participation in the Event;

(b) acknowledge and agree that NUS will not be held liable for any injury or death or for any property
loss or damage I sustain as a result of my participation in the Event, unless caused by NUS’
negligence; and

(c) give consent to NUS (including its third party service providers) to collect, use, disclose and/or
process my personal data provided to NUS for the purposes of administering my participation in
the Event.

4. I represent that I am at least 18 years of age; or that, if I am under 18, my parent/ legal guardian has
also signed below.

Yours faithfully
Name :

*Student matriculation
No./Staff ID No./NRIC
No. (e.g. XXXXX678A) :

Date :
Signature of participant

P.T.O

1 OLA 07Oct2019
Risk Acknowledgement and Consent Form

To be completed by Parent/ Guardian

I, of
name of * parent / guardian address

am the * parent / guardian of the above-named .


name of *child/ward

I consent to the said taking part in the Event, and I agree to the
Name of *child/ward

terms and conditions that are set out in this document.

*Parent / Guardian’s Name :

*Parent / Guardian’s
*NRIC/ Passport No. :
(e.g. XXXXX678A)

Date :
Signature of Parent / Guardian

* Delete where applicable

2 OLA 07Oct2019

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