Days of Service Registration Form (Spring 2025)

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Days of Service is a monthly initiative through the Center for Community Engagement that provides volunteer opportunities for Cal State East Bay students. Please use this form to register for a project. This form also functions as the event waiver. Please contact cce@csueastbay.edu with any questions.

We look forward to seeing you at an upcoming Day of Service!

Student Information

First Name *

Last Name *

Net ID *

Local Address *

Country *

Address 1 *

Address 2

City *

State *

ZIP code *

Phone Number *

Phone Number, part 1

Phone Number, part 2

Phone Number, part 3

ext.

Phone Number, part 4

Horizon Email *

Emergency Contact Information

First Name *

Last Name *

Phone Number *

Phone Number, part 1

Phone Number, part 2

Phone Number, part 3

ext.

Phone Number, part 4

Relationship *

Project Registration

Please select the Days of Service project you are registering for: *

After registering for a project, students will be sent an email with specific details about each project location, arrival, and activity.

March 22, 2025 (9:00am to 12:00pm) - Math Science Nucleus @ Tule Ponds - Gardening/Environmental Conservation Event (1999 Walnut Ave, Fremont)

Waiver

Please read each section carefully and then sign and date to confirm your agreement. If English is not your first language, foreign language translations of this document are available. Please email cce@csueastbay.edu. The English language version of this document shall be the authoritative version. The English language version shall be controlling in all respects and shall prevail in case of any inconsistency with the translated version.

Waiver of Liability, Promise not to Sue, Assumption of Risk and Agreement to Pay Claims - In consideration for being allowed to participate in the above-referenced Activity, on behalf of myself and my next of kin, heirs, representatives, and assigns, I hereby release, waive, and discharge from all liability and promise not to sue the State of California, the Trustees of The California State University, California State University, Cal State East Bay, and their employees, officers, directors, volunteers and agents (collectively the "University") from any and all liabilities or claims, including claims of the University's negligence, resulting in any physical or psychological injury (including paralysis and death), illness, damages, property loss, or economic or emotional loss I may suffer because of my participation in the Activity, including travel to, from and during the Activity.

I am aware of the risks associated with traveling to/from and participating in this Activity, which include but are not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and/or death. I understand that these injuries or outcomes may arise from my own or other's actions, inaction, or negligence; conditions related to travel; or the condition of the Activity location(s). Nonetheless, I assume all related risks, both known or unknown to me, of my participation in the Activity, including any associated use of University facilities or premises and any travel to, from and/or during the Activity.

I agree to indemnify and hold the University harmless from any and all claims, actions, suits, costs, expenses, and liabilities, including attorney's fees or damage to my property, that arise out of my participation in the Activity, including any associated use of University facilities or premises and any travel to, from and/or during the Activity. If the University incurs any of these types of expenses, I agree to reimburse the University. If I need medical treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.

Signature *

Clear signature

I am 18 years or older. I understand the legal consequences of signing this document, including (a) releasing the University from all liability, (b) promising not to sue the University, (c) and assuming all risks of participating in the Activity, including travel to, from and during the Activity. I understand that this document is written to be as broad and inclusive as legally permitted by the State of California. I agree that if any portion is held invalid or unenforceable, I will continue to be bound by the remaining terms. I have read this informed consent, waiver and release and understand the terms used in it and their legal significance. This informed consent, waiver and release is freely and voluntarily given with the understanding that right to legal recourse against the State is knowingly given up in return for allowing my participation in the activity. My signature on this document is intended to bind and not only myself but also my successors, heirs, representatives, administrators and assigns.

Date of Signature *

Month

Day

Year