By checking off the box below, the participant who intends to participate in Recreation (the "Program") sponsored by The New School (the "University"), to be held in Spring 2019, hereby assumes the risk of any personal injury in connection with the Program
and its associated activities, including transportation to and from The New School campus. I am fully aware of the risks and hazards connected with the activity, and voluntarily assume full responsibility for any risks of loss, property damage or personal
injury that may be sustained by me as a result of participating in the Program, whether caused by the negligence of the University or otherwise. I certify that I am physically fit and sufficiently trained to prepare and participate in the Program.