ASSUMPTION OF RISK AND RELEASE OF LIABILITY. I give permission for my child to participate in the College Cheerleading Stunt Clinic at Iowa State University. I understand that program activities may involve certain risks of physical activity and possible injury and that Iowa State University and ISU Athletics will provide each participant with reasonable care, but that ISU cannot guarantee that my child will remain free of injury. I nonetheless wish to have my child participate in the program activities and ASSUME the RISK of participating. I agree to RELEASE from LIABILITY, INDEMNIFY and HOLD HARMLESS Iowa State University; State of Iowa; Board of Regents - State of Iowa; and their officers, employees and agents (hereinafter the RELEASEES) from any and all claim and/or cause of action arising out of and related to any injury, loss, penalties, damage, settlement, costs or other expenses or liabilities that occur as a result of my child’s participation in this program. This Assumption of Risk, however, is not intended to release the above-mentioned RELEASEES from liability arising out of their negligence. I hereby further agree that this Release and Waiver of Liability shall be construed in accordance with the laws of the State of Iowa. BY SIGNING THIS AGREEMENT, I STATE THAT I SIGN IT VOLUNTARILY, HAVE READ AND UNDERSTAND All OF THE CONDITIONS SET FORTH AND AGREE TO THOSE CONDITIONS. Date Parent/Guardian Name (please print) Signature of Parent or Guardian Medical Authorization Required only if NO current (within one year of camp date) physical is available. This is to certify that this individual was examined by me on (date) valid if performed within one year of camp and that I found this individual to be physically able to participate in vigorous physical and competitive athletic sports. A school physical form is acceptable if valid within one year of the start date of this camp. Date of physical exam Identify any known allergies/drug sensitivities Other medical problems/current medications Does participant wear or carry an identification wrist band or carry card to alert others to allergy(ies). Medical conditions or medication use? Yes No Name of Physician Signature of Physician Date Address
ASSUMPTION OF RISK AND RELEASE OF LIABILITY. The Responsible Party assumes all responsibility for any and all risks of damage or injury that may occur while using the Facility and surrounding park area. In consideration for being able to use the Facility, the Responsible Party hereby waives, releases and discharges from any and all liability the City, its elected and appointed officials, employees, agents, and volunteers for death, disability, personal injury, property damage, property theft, or actions of any kind which may occur. Responsible Party agrees to release, waive, indemnify, and hold harmless the City, its elected and appointed officials, employees, agents, and volunteers, from any and all liability or claims made by other individuals or entities as a result of using the Facility.
ASSUMPTION OF RISK AND RELEASE OF LIABILITY. Knowing the risks described above, and in voluntary consideration of being permitted to participate in the Program, I agree to release, discharge, indemnify, and hold harmless District, District’s governing board (“Board”), and College and each of their officials, officers, employees, agents, volunteers, sponsors, students and representatives free from any and all liabilities arising out of or in connection with my participation in this Program. For purposes of this RELEASE, liability means all claims, demands, losses, causes of action, suits or judgment of any kind that I or my heirs, executors, administrators, and assigns may have against District, Board, College, and their officials, officers, employees, agents, volunteers, sponsors, students and representatives because of my personal, physical or emotional injury, accident, illness, or death, or because of any loss of or damage to property that occurs to me or my property during my participation in the Activity that may result from any cause including but not limited to District’s, Board’s, College’s, trustees’, employees’, agents’, teachers’, volunteers’, or representatives’ own passive or active negligence or other acts other than fraud, willful misconduct or violation of the law. Signature. I indicate by my signature below that I have read this VOLUNTARY ACTIVITY ASSUMPTION OF RISK AND RELEASE OF LIABILITY FORM and acknowledge that I understand it, that I understand the potential dangers incident to engaging in this Program, am fully aware of the legal consequences of this form, agree to its terms, and understand I am waiving certain rights and assuming the risk of damage from my participation in the Program. No representations, statements, or inducement, oral or written, apart from the foregoing written statement, have been made. Signature of Program Participant Date Public Information Office Photographic Release I, do hereby give my permission to be photographed or videotaped at Gavilan College. I understand that the images produced become the property of Gavilan College, and that they may be used for purposes of advertising and promotion in print, on television, and on the internet. I understand that they will not be sold, or used for any purpose other than the promotion of Gavilan College.
ASSUMPTION OF RISK AND RELEASE OF LIABILITY. I give permission for my child to participate in the Cyclone Basketball Spirit Day Clinic at Iowa State University. I understand that program activities may involve certain risks of physical activity and possible injury and that Iowa State University and ISU Athletics will provide each participant with reasonable care, but that ISU cannot guarantee that my child will remain free of injury. I nonetheless wish to have my child participate in the program activities and ASSUME the RISK of participating. I agree to RELEASE from LIABILITY, INDEMNIFY and HOLD HARMLESS Iowa State University; State of Iowa; Board of Regents - State of Iowa; and their officers, employees and agents (hereinafter the RELEASEES) from any and all claim and/or cause of action arising out of and related to any injury, loss, penalties, damage, settlement, costs or other expenses or liabilities that occur as a result of my child’s participation in this program. This Assumption of Risk, however, is not intended to release the above-mentioned RELEASEES from liability arising out of their negligence. I hereby further agree that this Release and Waiver of Liability shall be construed in accordance with the laws of the State of Iowa. BY SIGNING THIS AGREEMENT, I STATE THAT I SIGN IT VOLUNTARILY, HAVE READ AND UNDERSTAND All OF THE CONDITIONS SET FORTH AND AGREE TO THOSE CONDITIONS.
ASSUMPTION OF RISK AND RELEASE OF LIABILITY. Despite all known and unknown risks including but not limited to serious bodily injury, permanent disability, paralysis and loss of life that may be sustained while on or about TACOMA DEFY LLC’S facility, I, on behalf of myself, and/or on behalf of my spouse, minor child(ren)/xxxx(s) hereby expressly, unconditionally and voluntarily remise, release, waive, relinquish, acquit, satisfy and forever discharge and agree and covenant not to sue TACOMA DEFY LLC, including its suppliers, designers, installers, manufacturers of any trampoline equipment, foam pit material, or such other material and equipment in TACOMA DEFY LLC’S facility (all hereinafter referred to as “EQUIPMENT SUPPLIERS”) and agree to hold said parties harmless of and from any and all manner of actions or omission(s), causes of action, suits, sums of money, controversies, damages, judgments, executions, claims and demands whatsoever, in law or in equity, including, but not limited to, any and all claims which allege negligent acts and/or omissions committed by TACOMA DEFY LLC or any EQUIPMENT SUPPLIERS while in or about the premises and/or while participating in or as a result of participating in any of the ACTIVITIES in or about the premises and/or while using any items purchased in or about the premises, whether the action arises out of any damage, loss, personal injury, emotional injury, or death to me or my spouse, minor child(xxx)/xxxx(s). This Release of Liability, is effective and valid regardless of whether the damage, loss or death is a result of any act or omission on the part of TACOMA DEFY LLC and/or any EQUIPMENT SUPPLIERS.
ASSUMPTION OF RISK AND RELEASE OF LIABILITY. 9.1. Assumption of Risk. CONTRACTOR understands, acknowledges and accepts all known and unknown risks associated with performance of the Services. XXXXXXXXXX agrees to assume any and all risks associated with said services.
ASSUMPTION OF RISK AND RELEASE OF LIABILITY. I understand and acknowledge the physical and mental rigors associated with this Event and/or events similar in nature, as well as competitive racing, or other sporting or physical events, and realize that the activities involved and other portions of this or other such Events are inherently dangerous and represent a test of a person’s physical and mental limits. I understand that participation involves risks and dangers which include, without limitation, the potential for serious bodily injury, permanent disability, paralysis and death; loss or damage to property; exposure to extreme conditions and circumstances; accidents, illness, contact or collision with other participants, spectators, vehicles or other natural or manmade objects; dangers arising from adverse weather conditions; imperfect course conditions; water, road and surface hazards; equipment failure; inadequate safety measures; participants of varying skill levels; situations beyond the immediate control of the Event Organizers; and other undefined harm or damage which may not be readily foreseeable, and other presently unknown risks and dangers (“Risks”). I understand that these Risks may be caused in whole or in part by my own actions or inactions, the actions or inactions of others participating in the Event, or the acts, inaction or negligence of the Released Parties defined below, and I hereby expressly assume all such Risks and responsibility for any damages, liabilities, losses or expenses which I incur as a result of my participation in the Event.
ASSUMPTION OF RISK AND RELEASE OF LIABILITY. Knowing the risks described above, and involuntary consideration of being allowed to participate in the Program, I hereby knowingly assume all risks inherent in this activity and connected activities. I agree to release, indemnify, and defend Illinois Dental Careers and its officers, Board of Trustees, employees, its designated agents and independent contractors from all claims of any kind which I, the student, may have for any losses, damages or injuries arising out of or in connection with my participation in this Program. SIGNATURE: I indicate that by my signature below, I have read the terms and conditions of participation in this Program and agreed to abide by them. I have carefully read this Voluntary Assumption of Risk and Release liability and acknowledge that I understand it. The laws of the State of Illinois shall govern this Voluntary Assumption of Risk and Release of Liability. STUDENT SIGNATURE DATE PROGRAM COORDINATOR SIGNATURE DATE HEPATITIS B DECLINATION FORM If you have previously received the HEP B vaccination, please provide proper documentation to Illinois Dental Careers. If you chose to opt-out of the vaccination please sign the below statement, acknowledging you are declining. Illinois Dental Careers will not pay for or reimburse for students to receive the HEP B shot.
ASSUMPTION OF RISK AND RELEASE OF LIABILITY. I acknowledge that I and/or my spouse, minor child(ren)/xxxx(s), for whom I represent that I have full authority as parent or legal guardian to bind the minor participant to this agreement, am voluntarily participating in the ACTIVITIES, which I agree are dangerous and entail both known and unknown inherent risks, including the risk of injury, permanent disability, or even death, deriving from, but not limited to, equipment malfunctions; building malfunctions; lack of supervision and/or trained trampoline monitors; lack of proper equipment or padding, netting, or other safety measures; slipping; falling; landing; or colliding with fixed objects or other people, as well as the negligence and/or omissions committed by me, my spouse and/or my child(ren)/xxxx(s), LION TAMER, LLC dba DEFY GAINESVILLE, and/or any other person and/or entity while on the premises. I hereby voluntarily assume all such risks. I further understand and acknowledge that LION TAMER, LLC dba DEFY GAINESVILLE does not manufacture the trampolines or other equipment in its facilities, but purchases and/or leases the trampolines and equipment and therefore LION TAMER, LLC dba DEFY GAINESVILLE may not be held liable for defective products. Despite all known and unknown risks including but not limited to serious bodily injury, permanent disability, paralysis and loss of life that may be sustained while on or about LION TAMER, LLC dba DEFY GAINESVILLE’S facility, I, on behalf of myself, and/or on behalf of my spouse, minor child(ren)/xxxx(s) hereby expressly, unconditionally and voluntarily remise, release, waive, relinquish, acquit, satisfy and forever discharge and agree and covenant not to xxx LION TAMER, LLC dba DEFY GAINESVILLE, including its suppliers, designers, installers, manufacturers of any trampoline equipment, foam pit material, or such other material and equipment in LION TAMER, LLC dba DEFY GAINESVILLE’S facility (all hereinafter referred to as “EQUIPMENT SUPPLIERS”) and agree to hold said parties harmless of and from any and all manner of actions or omission(s), causes of action, suits, sums of money, controversies, damages, judgments, executions, claims and demands whatsoever, in law or in equity, including, but not limited to, any and all claims which allege negligent acts and/or omissions committed by LION TAMER, LLC dba DEFY GAINESVILLE or any EQUIPMENT SUPPLIERS while in or about the premises and/or while participating in or as a result of participating in any of the ACTIVI...
ASSUMPTION OF RISK AND RELEASE OF LIABILITY. LESSEE acknowledges that the Personal Property is being leased on an “as is” basis. OSU makes no representations or warranties in relation to the Personal Property or its function. OSU is not liable for any claims, suits, actions, loss, damage, injury, demand, cost and expense of any nature, resulting from, or connected with, the use or operation of the Personal Property by LESSEE.
