{ "document_id": 15545, "page": 7, "width_pt": 612, "height_pt": 792, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "engine": "paddleocr_vl", "source_run_id": 15658, "item_count": 34, "counts_by_type": { "figure": 2, "footer": 1, "form_field": 12, "header": 1, "heading": 6, "list": 1, "list_item": 2, "text": 7, "title": 2 }, "build_ms": 3, "items": [ { "id": "p7.1", "order": 1, "type": "figure", "bbox": { "l": 44.64, "t": 788.88, "r": 152.88, "b": 706.32 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image" } }, { "id": "p7.2", "order": 2, "type": "header", "bbox": { "l": 355.68, "t": 753.6, "r": 565.44, "b": 706.8 }, "text": "OFFICE OF HUMAN RESOURCES\nACADEMIC SERVICES #241 | 400 EAST MAIN STREET\nFRANKFORT, KY 40601 | (502) 597-6667\nKYSU.EDU", "attrs": { "block_label": "header" }, "level": 2 }, { "id": "p7.3", "order": 3, "type": "figure", "bbox": { "l": 43.5, "t": 787.6001, "r": 567.7766, "b": 707.3501 }, "text": "", "attrs": { "source": "pdf_image" } }, { "id": "p7.4", "order": 4, "type": "title", "bbox": { "l": 126.24, "t": 688.56, "r": 484.56, "b": 673.2 }, "text": "VOLUNTEER RELEASE AND WAIVER OF LIABILITY", "attrs": { "block_label": "doc_title" }, "level": 2 }, { "id": "p7.5", "order": 5, "type": "heading", "bbox": { "l": 34.56, "t": 637.44, "r": 166.08, "b": 624.24 }, "text": "Acknowledgment of Risk", "attrs": { "block_label": "paragraph_title" }, "level": 3 }, { "id": "p7.6", "order": 6, "type": "title", "bbox": { "l": 229.68, "t": 662.16, "r": 382.56, "b": 647.04 }, "text": "Volunteers Age 18 & Over", "attrs": { "block_label": "doc_title" }, "level": 2 }, { "id": "p7.7", "order": 7, "type": "text", "bbox": { "l": 33.6, "t": 613.44, "r": 572.4, "b": 572.4 }, "text": "□ I understand that volunteering at Kentucky State University (KSU) may involve certain risks, including but not limited to physical injury, property damage, or other hazards associated with volunteer activities. I freely and voluntarily assume all such risks.", "children": [ { "id": "p7.7.1", "order": 8, "type": "form_field", "bbox": { "l": 36, "t": 612.24, "r": 45.48, "b": 603.72 }, "text": "", "attrs": { "field_kind": "checkbox", "label": "□ I understand that volunteering at Kentucky State University (KSU) may involve certain risks, including but not limited to physical injury, property damage, or other hazards associated with volunteer activities. 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I freely and voluntarily assume all such risks.", "source": "glyph", "label_source": "parent_text", "label_ref": "p7.7", "text_offset": 0, "text_span": 0 } } ] }, { "id": "p7.8", "order": 10, "type": "heading", "bbox": { "l": 34.56, "t": 563.28, "r": 136.56, "b": 550.32 }, "text": "Release of Liability", "attrs": { "block_label": "paragraph_title" }, "level": 3 }, { "id": "p7.9", "order": 11, "type": "text", "bbox": { "l": 33.6, "t": 539.28, "r": 576.24, "b": 483.84 }, "text": "□ In consideration of being permitted to volunteer at KSU, I, on behalf of myself, my heirs, executors, and assigns, hereby release, waive, and discharge Kentucky State University, its trustees, officers, employees, and agents from any and all liability, claims, demands, or causes of action that may arise from my participation in volunteer activities, including claims arising from negligence.", "children": [ { "id": "p7.9.1", "order": 12, "type": "form_field", "bbox": { "l": 36, "t": 538.2, "r": 45.48, "b": 529.68 }, "text": "", "attrs": { "field_kind": "checkbox", "label": "□ In consideration of being permitted to volunteer at KSU, I, on behalf of myself, my heirs, executors, and assigns, hereby release, waive, and discharge Kentucky State University, its trustees, officers, employees, and agents from any and all liability, claims, demands, or causes of action that may arise from my participation in volunteer activities, including claims arising from negligence.", "pdf_field_name": "In consideration of being permitted to volunteer at KSU I on behalf of myself my heirs executors and assigns", "source": "acroform", "label_source": "parent_text", "label_ref": "p7.9", "text_offset": 0, "text_span": 1 } }, { "id": "p7.9.2", "order": 13, "type": "form_field", "bbox": { "l": 36, "t": 546.22896, "r": 45.50544, "b": 520.9694400000001 }, "text": "", "attrs": { "field_kind": "checkbox", "label": "□ In consideration of being permitted to volunteer at KSU, I, on behalf of myself, my heirs, executors, and assigns, hereby release, waive, and discharge Kentucky State University, its trustees, officers, employees, and agents from any and all liability, claims, demands, or causes of action that may arise from my participation in volunteer activities, including claims arising from negligence.", "source": "glyph", "label_source": "parent_text", "label_ref": "p7.9", "text_offset": 0, "text_span": 0 } } ] }, { "id": "p7.10", "order": 14, "type": "heading", "bbox": { "l": 33.36, "t": 475.92, "r": 211.68, "b": 462.72 }, "text": "Medical Treatment Authorization", "attrs": { "block_label": "paragraph_title" }, "level": 3 }, { "id": "p7.11", "order": 15, "type": "text", "bbox": { "l": 33.12, "t": 453.36, "r": 549.36, "b": 426 }, "text": "In the event of an emergency, I authorize KSU personnel to secure medical treatment for me as deemed necessary. I understand that I am responsible for any medical expenses incurred." }, { "id": "p7.12", "order": 16, "type": "heading", "bbox": { "l": 34.32, "t": 418.08, "r": 227.04, "b": 404.4 }, "text": "Allergies or Medical Conditions (if any):", "attrs": { "block_label": "paragraph_title" }, "level": 3 }, { "id": "p7.13", "order": 17, "type": "list", "bbox": { "l": 33.36, "t": 392.64, "r": 575.52, "b": 344.4 }, "text": "", "attrs": { "item_count": 2 }, "children": [ { "id": "p7.13.1", "order": 18, "type": "list_item", "bbox": { "l": 33.36, "t": 392.64, "r": 575.52, "b": 368.52 }, "text": "___", "attrs": { "bbox_estimated": true }, "children": [ { "id": "p7.13.1.1", "order": 19, "type": "form_field", "bbox": { "l": 36, "t": 403.68, "r": 574.92, "b": 385.44 }, "text": "", "attrs": { "field_kind": "text", "label": "Allergies or Medical Conditions (if any [1]", "pdf_field_name": "Allergies or Medical Conditions if any 1_2", "source": "acroform" } }, { "id": "p7.13.1.2", "order": 20, "type": 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