Common use of ASSUMPTION OF RISK AND RELEASE OF LIABILITY Clause in Contracts

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. I give permission for my child to participate in the College Iowa State Cheerleading Stunt Prep 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. I give permission for my child to participate in the College Cheerleading Stunt Dance Prep 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. I give permission for my child to participate in the College Cheerleading Stunt Iowa State Dance Team Prep 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. I give (Please read carefully.) I, (print name) as the parent or legal guardian of, (participant name), grant permission for my child to participate his/her participation in the College Cheerleading Stunt Clinic Iowa State Livestock Judging Camp at Iowa State University. This Participation Agreement, Parental Permission Agreement, Assumption of Risk, Release of Liability and Emergency Medical Information must be read carefully and signed by all participants and the parent or legal guardian of each participant under 18 years of age who will take part in the Iowa State Livestock Judging Camp, June 12-14, 2017. The ISU Livestock Judging Camp is offering my child a voluntary opportunity to participate in activities, housing and meals during the ISU Livestock Judging Camp. I acknowledge that my child will be under the supervision of the Iowa State Livestock Judging Club faculty and student chaperones during this event. Participants will stay in dorm rooms with two participants per room that has two beds. Particpates will be paired with someone of the same gender and of similar age. ISU chaperones will be staying on the same floor. All chaperones are at least 21 years of age and seniors in college, graduate students, or ISU staff. I understand that program the Iowa State Livestock Judging Camp is designed to strengthen their knowledge and understanding on the principles of market and breeding evaluation of sheep, cattle, and hogs as well as oral reasons. Youth will also learn the importance of performance data and how to interpret and incorporate data into a set of reasons. These learning activities may involve certain risks of physical activity and possible injury such as cuts and contamination of open wounds, and that Iowa State University and ISU Athletics the Iowa State Livestock Judging Team staff will provide each participant with reasonable care, instructions and personal protective equipment if necessary and adequate hand washing facilities, but that ISU cannot guarantee that my child I will remain free of injury. I nonetheless wish to have my child participate in the program activities Iowa State Livestock Judging Camp and ASSUME the RISK of participating. I agree to RELEASE from LIABILITY, INDEMNIFY and HOLD HARMLESS Iowa State University; the State of Iowa; , the Board of Regents - State of Iowa; , Iowa State University and ISU Livestock Judging Club and Team, and their officers, employees and agents (hereinafter the RELEASEESherein after referred to as RELEASES) 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 programthe Iowa State Livestock Judging Camp. This Assumption of Riskrelease, however, is not intended to release the above-mentioned RELEASEES RELEASES from liability arising out of their sole 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 dateunder 18) 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 MEDICAL EMERGENCY PERMISSION I understand that I found this individual must be healthy and reasonably fit in order to be physically able safely participate in the Iowa State Livestock Judging Camp activities and I will inform the program leader(s) of any medication, ailment, condition, or injury that may affect my ability to participate safely. The health history stated below is correct and complete to my knowledge. If an injury or other medical condition occurs or arises, I hereby give permission to the Iowa State Livestock Judging Camp faculty or students in vigorous physical charge to provide routine first aid and competitive athletic sportsseek emergency treatment including X-rays or routine tests. A school physical form is acceptable if valid within one year I agree to the release of any record necessary for treatment, referral, billing or insurance purposes. I understand that I am financially responsible for charges and hereby guarantee full payment to the attending physicians or health care unit. In the event of an emergency where the Emergency Contact listed above cannot be reached, I give permission to the physician/hospital selected by the Iowa State Livestock Judging Camp faculty or students in charge to secure and administer treatment for me, including hospitalization. I understand that the camp coordinators will make every attempt to ensure the safety of youth participants and provide properly trained and experienced faculty and students to chaperone this event. Medical information will be kept confidential and used only in the case of a medical emergency. * (If you cannot sign this section of the start form for any reason, contact the Office of Risk Management [000-000-0000] regarding a legal waiver in order to attend and participate.) initial date of this camp. Date of physical exam Identify any known allergies/drug sensitivities Other medical problems/current medications MEDICAL EMERGENCY CONTACT INFORMATION Person to Contact First: Backup Contact (Relative or Friend): Name Relation to Participant Daytime Phone ( ) Evening Phone ( ) Name Relation to Participant Daytime Phone ( ) Evening Phone ( ) Health Information (Please Print) Does participant wear or carry an identification wrist band or carry card to alert others to allergy(ies). Medical have any medical condition which may limit certain activities? If yes, please specify condition(s): Do you have any of the following conditions or medication usea history of any of the following conditions? Yes No Name of Physician Signature of Physician Date Address(Check all that apply.)

ASSUMPTION OF RISK AND RELEASE OF LIABILITY. The Xxxxx Xxxxxx Wellness Center urges all members to obtain a physical examination from their physicians prior to the use of any exercise equipment or participating in any exercise class. In recognition of the possible dangers connected with any physical activity, I give permission for hereby and voluntarily waive my child right or cause of action of any kind whatsoever arising as the result of such activity from which any liability may or could accrue to participate in The Xxxxx Xxxxxx Wellness Cen- ter, Gila Regional Medical Center, their Board of Trustees, agents, employees, staff members, officers, directors, partners, contractors, instructors, trainers, or members (collectively the College Cheerleading Stunt Clinic at Iowa State University“Released Parties”). I understand that program activities may involve certain risks of physical activity all exercise and possible injury participation is done at my own risk and that Iowa State University of my guests and ISU Athletics will provide each participant with reasonable care, but that ISU cantherefore I shall not guarantee that hold The Released Parties liable for any damages arising from personal injuries sustained by me and/or my child will remain free of injuryguests in or about the premises. I nonetheless wish assume full responsibility for any injuries or damages which may occur to have my child participate in me in, on, or about the program activities premises, and ASSUME the RISK of participating. I agree to RELEASE from LIABILITY, INDEMNIFY do hereby fully and HOLD HARMLESS Iowa State University; State of Iowa; Board of Regents - State of Iowa; forever release and their officers, employees and agents (hereinafter the RELEASEES) discharge The Released Parties from any and all claim and/or cause claims, demands, damages, rights of action or causes of action present or future, whether the same be know or unknown, anticipated, resulting from or arising out of my use or intend use of the said facilities 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 negligenceequipment thereof. I hereby further represent myself, and/or my minor child(ren), to be physically capable of participating in The Xxxxx Xxxxxx Wellness Center programs and activities and understand that The Xxxxx Xxxxxx Wellness Center has no obligation or duty to conduct a physical exam before I, or my minor child(ren) use the facility. I release The Xxxxx Xxxxxx Wellness Center and additional Released Parties from any injury arising from its good faith acts or omissions in emergency situa- tions. I represent that I am over the age of 18 or a parent/guardian of the minor(s) named below, and agree that this Release assumption and Waiver release binds me and the minor(s) of Liability shall be construed in accordance with the laws all of the State of Iowaits terms. 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 Name: (or Parent/Guardian Name (please printLegal Guardian) Signature of Parent or Guardian Medical Authorization Required only if NO current (within one year of camp date) physical is available. This is Name: Signature: Signature: Date: Date: Name: Signature: Date: Name: Signature: Date: Name: Signature: Date: Please be sure 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 initial 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 Addressfollowing information:

ASSUMPTION OF RISK AND RELEASE OF LIABILITY. The Xxxxx Xxxxxx Wellness Center urges all members to obtain a physical examination from their physicians prior to the use of any exercise equipment or participating in any exercise class. In recognition of the possible dangers connected with any physical activity, I give permission for hereby and voluntarily waive my child right or cause of action of any kind whatsoever arising as the result of such activity from which any liability may or could accrue to participate in The Xxxxx Xxxxxx Wellness Cen- ter, Gila Regional Medical Center, their Board of Trustees, agents, employees, staff members, officers, directors, partners, contractors, instructors, trainers, or members (collectively the College Cheerleading Stunt Clinic at Iowa State University“Released Parties”). I understand that program activities may involve certain risks of physical activity all exercise and possible injury participation is done at my own risk and that Iowa State University of my guests and ISU Athletics will provide each participant with reasonable care, but that ISU cantherefore I shall not guarantee that hold The Released Parties liable for any damages arising from personal injuries sustained by me and/or my child will remain free of injuryguests in or about the premises. I nonetheless wish assume full responsibility for any injuries or damages which may occur to have my child participate in me in, on, or about the program activities premises, and ASSUME the RISK of participating. I agree to RELEASE from LIABILITY, INDEMNIFY do hereby fully and HOLD HARMLESS Iowa State University; State of Iowa; Board of Regents - State of Iowa; forever release and their officers, employees and agents (hereinafter the RELEASEES) discharge The Released Parties from any and all claim and/or cause claims, demands, damages, rights of action or causes of action present or future, whether the same be know or unknown, anticipated, resulting from or arising out of my use or intend use of the said facilities 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 negligenceequipment thereof. I hereby further represent myself, and/or my minor child(ren), to be physically capable of participating in The Xxxxx Xxxxxx Wellness Center programs and activities and understand that The Xxxxx Xxxxxx Wellness Center has no obligation or duty to conduct a physical exam before I, or my minor child(ren) use the facility. I release The Xxxxx Xxxxxx Wellness Center and additional Released Parties from any injury arising from its good faith acts or omissions in emergency situa- tions. I represent that I am over the age of 18 or a parent/guardian of the minor(s) named below, and agree that this Release assumption and Waiver release binds me and the minor(s) of Liability shall be construed in accordance with the laws all of the State of Iowaits terms. 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 Name: Signature: Date: (or Parent/Guardian Name (please printLegal Guardian) Signature of Parent or Guardian Medical Authorization Required only if NO current (within one year of camp date) physical is available. This is Name: Signature: Date: Name: Signature: Date: Name: Signature: Date: Name: Signature: Date: Please be sure 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 initial 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 Addressfollowing information: