CALIFORNIA STATE UNIVERSITY, EAST BAY
General Waiver of Liability, Consent and Hold Harmless Agreement for Activities
EVENT INFORMATION
Event Name Short Description
Event Name Full Description
Activity Description
Dates of Activity
Activity Location/Facility
Participant's First Name
Participant's Last Name
Participant's Email Address
Select One:
Participant is 18 years of age or older
Participant is under 18 years of age
Parent / Guardian Email Address