Final Details & Waiver - UCLA Bruin Woods

This completed form is required to attend Bruin Woods this summer — please complete and submit the information at least 14-days prior to arrival. For questions, please call (909) 337-2478 or email bwresort@ha.ucla.edu.

* Fields marked with an asterisk are required.

Family Name Your Reservations are Under*

Week Number*

Email*

Phone*

Cell Phone Number During Your Stay*

(For our staff to contact you in case of an emergency.)

I authorize Bruin Woods to release my following information to fellow guests (check all that apply):

Email Address
Phone Number
Cell Phone Number

Does anyone in your party require extra room accommodations? (e.g. crib)

(Our team will try to accommodate requests by arrival, but may some requests be delayed)

Parking

Please list the cars your party will be bringing.*

Make/Model

c1-color

Color

c1-license-plate

License Plate #

c2-make

Make/Model

c2-color

Color

c2-license-plate

License Plate #

c3-make

Make/Model

c3-color

Color

c3-license

License Plate #

Guest Information

GUEST 1 (Qualifying Applicant)*

First Last

Adult / Child 1*

G1 Occupation (as specific as possible)

Will be listed on Picture Board.

G1 Dietary Restrictions (please specify):

G1 Special need that should be considered as I am scheduled for activities:

G1 During my stay, I am having a(n):

Birthday
Anniversary

G1 Date

(during your week only, please)

G1 Age

G1 Number of Years

GUEST 2

First Last

Adult / Child 2

For child, please select grade entering this Fall or the age during camp for 4 years and under.

G2 Occupation (as specific as possible)

Will be listed on Picture Board.

G2 DOB*

G2 Dietary Restrictions (please specify):

G2 Special need that should be considered as I am scheduled for activities:

G2 During my stay, I am having a(n):

Birthday
Anniversary

G2 Date

(during your week only, please)

G2 Age

G2 Number of Years

GUEST 3

First Last

Adult / Child 3

For child, please select grade entering this Fall or the age during camp for 4 years and under.

G3 Occupation (as specific as possible)

G3 DOB*

G3 Dietary Restrictions (please specify):

G3 Special need that should be considered as I am scheduled for activities:

G3 During my stay, I am having a(n):

Birthday
Anniversary

G3 Date

(during your week only, please)

G3 Age

G3 Number of Years

GUEST 4

First Last

Adult / Child 4

For child, please select grade entering this Fall or the age during camp for 4 years and under.

G4 Occupation (as specific as possible)

G4 DOB*

G4 Dietary Restrictions (please specify):

G4 Special need that should be considered as I am scheduled for activities:

G4 During my stay, I am having a(n):

Birthday
Anniversary

G4 Date

(during your week only, please)

G4 Age

G4 Number of Years

GUEST 5

First Last

Adult / Child 5

For child, please select grade entering this Fall or the age during camp for 4 years and under.

G5 Occupation (as specific as possible)

G5 DOB*

G5 Dietary Restrictions (please specify):

G5 Special need that should be considered as I am scheduled for activities:

G5 During my stay, I am having a(n):

Birthday
Anniversary

G5 Date

(during your week only, please)

G5 Age

G5 Number of Years

GUEST 6

First Last

Adult / Child 6

For child, please select grade entering this Fall or the age during camp for 4 years and under.

G6 Occupation (as specific as possible)

G6 DOB*

G6 Dietary Restrictions (please specify):

G6 Special need that should be considered as I am scheduled for activities:

G6 During my stay, I am having a(n):

Birthday
Anniversary

G6 Date

(during your week only, please)

G6 Age

G6 Number of Years

UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice

ALL participants must read the following and sign the "Acknowledgment of Understanding" below, including parents on behalf of all minor children.**

WAIVER OF LIABILITY: In consideration of being permitted to participate in any way in Water Skiing, Boating, Fishing, Hiking, Mountain Biking, Riflery, Archery, Swimming, Horseback Riding, Paint Ball, Ice Skating, Ropes Course, Softball, Football, Volleyball, Tennis, Basketball, Cardio Kick Boxing, Massage Services, Yoga, Pilates, and any other activity associated with or undertaken at Bruin Woods hereinafter called “The Activity,” I, for myself, my heirs, personal representative or assigns, do hereby release, waive, discharge, and covenant not to sue the Regents of the University of California, its officers, employees, and agents from liability from any and all claims including the negligence of The Regents of the University of California, its officers, employees and agents, resulting in personal injury, accidents, or illnesses (including death) and property loss arising from, but not limited to, participation in The Activity.

ASSUMPTION OF RISKS: Participation in The Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions 3) catastrophic injuries including paralysis and death.

INDEMNIFICATION AND HOLD HARMLESS: I also agree to INDEMNIFY AND HOLD The Regents of the University of California HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in The Activity and to reimburse them for any such expenses incurred.

SEVERABILITY: The undersigned further expressly agrees that the foregoing Waiver and Assumption of Risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

PHOTOGRAPHY/VIDEO NOTICE: Photographs and/or video will be taken during Bruin Woods. I consent to the use of these photographs and/or videos taken of myself while attending Bruin Woods for the purpose of advertisements and communications for Bruin Woods.

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest 1*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest 1*

First Last

G1 Date Signed*

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest 2*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest 2*

First Last

G2 Date Signed*

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest 3*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest 3*

First Last

G3 Date Signed*

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest 4*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest 4*

First Last

G4 Date Signed*

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest 5*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest 5*

First Last

G5 Date Signed*

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest 6*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest 6*

First Last

G6 Date Signed*

**PARENT ON BEHALF OF ALL MINOR CHILDREN:*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Parent on Behalf of All Minor Children*

First Last

G9 Date*

Bruin Woods2022 Final Details & Waiver Form

Parking

Guest Information

UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice