Release of All Claims and Covenant Not to Sue. In consideration of my use of the of University of Illinois Activity and Recreation Center Climbing Wall, I, (printed name) for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Board of Trustees of the University of Illinois and its respective officers, employees, and agents from liability from any and all claims including those which result in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to a claim of negligence which I, my heirs, representatives, executors, administrators, and assigns may now have, or have in the future against the University on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to my use of the ARC Climbing Wall, whether that use is supervised or unsupervised. I hereby certify that I have full knowledge of the nature and extent of the risks inherent in the use of the ARC Climbing Wall and that I am voluntarily assuming the risks. I understand that I will be solely responsible for any loss or damage, including death, that I sustain while using the ARC Climbing Wall and that by this agreement I am relieving the University of any and all Liability for such loss, damage, or death. I further certify that I am in good health and that I have no physical limitations, which would preclude my safe use of the ARC Climbing Wall. I further certify that my present age is and that I am therefore of lawful age (18 years or older) and otherwise legally competent to sign this agreement. I further understand that the terms of this agreement are legally binding and I certify that I am signing this agreement, after having carefully read the same, of my own free will. In witness whereof, this instrument is duly executed at Champaign, Illinois, this day of , 20 . / / ARC Climbing Wall user’s signature/date ARC Climbing Wall user’s printed name/date / / Witness’ signature/date (Campus Recreation employee) Witness’ printed name/date / / Parent/guardian of minor (under 18) signature/date Parent/guardian printed name/date ARC Climbing Wall Helmet Waiver I agree, on behalf of myself and/or any minor children for whom I am responsible, that there are inherent dangers involved with climbing activities and that I/we assume all risks associated with such activities. I/we realize that I/we are subject to injury from this activity. I/we further understand that the University of Illinois and Campus Recreation safety policies and procedures require the use of and wearing of safety protective helmets, which could prevent injury to my/our head, including, but not limited to, permanent brain damage and death. Against the advice of the University of Illinois and Campus Recreation staff I/we am refusing this critical precaution and I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Board of Trustees of the University of Illinois and its respective officers, employees, and agents from liability from any and all claims including those which result in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, my voluntary refusal to wear a safety helmet. Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD the Board of Trustees of the University of Illinois HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, brought as a result of my voluntary refusal to wear a safety helmet and to reimburse it for any such expenses incurred. Date: , 20 e-mail: @ Signature of Participant Participant name, printed clearly Signature of Parent/Guardian of Minor (under 18)
Appears in 1 contract
Samples: campusrec.illinois.edu
Release of All Claims and Covenant Not to Sue. In consideration of my use of the of Xxxxxx State University of Illinois Activity and Recreation Center Climbing Wall and/or Bouldering Wall, I, (printed name) for I agree to release and on behalf of myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Board of Trustees of the University of Illinois and its respective officers, employees, and agents from liability from any and all claims including those which result in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to a claim of negligence which I, my heirs, representatives, executors, administrators, and assigns HEREBY DO RELEASE Xxxxxx State University, its officers, agents, and employees from any causes of action, claims, or demands of any nature whatsoever, which I, my heirs, representatives, executors and assigns may now have, or have in the future against the Xxxxxx State University on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to my use of the ARC Climbing Wall and/or Bouldering Wall. In consideration of my use of the Climbing Wall and/or Bouldering Wall I, whether that the undersigned user, agree to INDEMNIFY AND HOLD HARMLESS Xxxxxx State University, its officers, agents, and employees from any and all causes of action, claims, demands, losses, or costs of any nature whatsoever arising out of or in any way relating to my use is supervised or unsupervisedof the Climbing Wall and/or Bouldering Wall. I hereby certify that I have full knowledge of the nature and extent of the risks inherent in the use of the ARC Climbing Wall and/or Bouldering Wall and that I am voluntarily assuming the these risks. I understand that I will be by solely responsible for any loss or damage, including death, that I sustain while using the ARC Climbing Wall and/or Bouldering Wall and that by this agreement I am relieving the University of any and all Liability liability for such loss, damage, or death. I further certify that I am in good health and that I have no physical limitations, which limitations that would preclude my safe use of the ARC Climbing Wall and/or Bouldering Wall. I further certify that my present age is and that I am therefore of lawful age (18 years or older) and otherwise legally competent to sign this agreementBY SIGNING THIS DOCUMENT, IT IS OUR INTENTION TO EXEMPT AND RELIEVE XXXXXX STATE UNIVERSITY, ITS OFFICERS, AGENTS, OR EMPLOYEES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH CAUSED BY ANY REASON WHILE PARTICIPATING AT THE CLIMBING WALL AND/OR BOULDERING WALL. I further understand that the terms of this agreement are legally binding and I certify that I am signing this agreement, after having carefully read the same, of my own free will. In witness whereof, this instrument is duly executed at Champaign, Illinois, this day of , 20 . / / ARC Date Climbing Wall Wall/ Bouldering user’s signature/date ARC signature Climbing Wall Wall/ Bouldering user’s printed name/date / / Witness’ signature/date name Parent or guardian's signature (Campus Recreation employee) Witness’ printed name/date / / Parent/guardian of minor (if under 18) signature/date Parent/guardian Parent or guardian's printed name/date ARC Climbing Wall Helmet Waiver I agree, on behalf of myself and/or any minor children for whom I am responsible, that there are inherent dangers involved with climbing activities and that I/we assume all risks associated with such activities. I/we realize that I/we are subject to injury from this activity. I/we further understand that the University of Illinois and Campus Recreation safety policies and procedures require the use of and wearing of safety protective helmets, which could prevent injury to my/our head, including, but not limited to, permanent brain damage and death. Against the advice of the University of Illinois and Campus Recreation staff I/we am refusing this critical precaution and I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Board of Trustees of the University of Illinois and its respective officers, employees, and agents from liability from any and all claims including those which result in personal injury, accidents or illnesses name (including death), and property loss arising from, but not limited to, my voluntary refusal to wear a safety helmet. Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD the Board of Trustees of the University of Illinois HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, brought as a result of my voluntary refusal to wear a safety helmet and to reimburse it for any such expenses incurred. Date: , 20 e-mail: @ Signature of Participant Participant name, printed clearly Signature of Parent/Guardian of Minor (if under 18)
Appears in 1 contract
Samples: Wright State University
Release of All Claims and Covenant Not to Sue. In consideration of my use of the of The Ohio State University of Illinois Activity and Recreation Center Climbing WallCenter, I, (printed name) for the undersigned user, agree to release and on behalf of myself, my heirs, personal representatives or assignsrepresentatives, do hereby releaseexecutors, waiveadministrators and assigns HEREBY DO RELEASE The Ohio State University, discharge, and covenant not to sue the Board of Trustees of the University of Illinois and its respective officers, employees, agents and agents from liability employees from any and all claims cause of action, claims, or demands of any nature whatsoever, including those which result in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to a claim of negligence which I, my heirs, representatives, executors, administrators, administrators and assigns may now have, or have in the future against the University on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to my use of the ARC OAC Climbing WallCenter, whether that use is supervised or unsupervised. In consideration of my use of the OAC Climbing Center, I, the undersigned user, agree to INDEMNIFY AND HOLD HARMLESS The Ohio State University, its officers, agents, and employees from any cause of action, claims, or demands of any nature whatsoever arising out of or in any way relating to my use of the OAC Climbing Center. I hereby certify that I have full knowledge of the nature and extent of the risks inherent in the use of the ARC OAC Climbing Wall Center and that I am voluntarily assuming the risks. , I understand that I will be solely responsible for any loss or damage, including death, that I sustain while using the ARC OAC Climbing Wall Center and that by this agreement I am relieving the University of any and all Liability liability for such loss, damage, or death. I further certify that I am in good health and that I have no physical limitations, which would preclude my safe use of the ARC OAC Climbing WallCenter. I further certify that my present age is and that I am therefore of lawful age (18 years or older) and otherwise legally competent to sign this agreement. I further understand that the terms of this agreement are legally binding and I certify that I am signing this agreement, after having carefully read the same, of my own free will. In witness whereof, this instrument is duly executed at ChampaignColumbus, IllinoisOhio, this day of , 20 . / / ARC OAC Climbing Wall Center user’s signature/date ARC signature OAC Climbing Wall Center user’s printed name/date / / Witness’ signature/date (Campus Recreation employee) Witness’ printed name/date / / Parent/guardian of minor (under 18) signature/date Parent/guardian printed name/date ARC Climbing Wall Helmet Waiver I agree, on behalf of myself and/or any minor children for whom I am responsible, that there are inherent dangers involved with climbing activities and that I/we assume all risks associated with such activities. I/we realize that I/we are subject to injury from this activity. I/we further understand that the University of Illinois and Campus Recreation safety policies and procedures require the use of and wearing of safety protective helmets, which could prevent injury to my/our head, including, but not limited to, permanent brain damage and death. Against the advice of the University of Illinois and Campus Recreation staff I/we am refusing this critical precaution and I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Board of Trustees of the University of Illinois and its respective officers, employees, and agents from liability from any and all claims including those which result in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, my voluntary refusal to wear a safety helmet. Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD the Board of Trustees of the University of Illinois HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, brought as a result of my voluntary refusal to wear a safety helmet and to reimburse it for any such expenses incurred. Date: , 20 e-mail: @ Signature of Participant Participant name, printed clearly Signature of Parent/Guardian of Minor (under 18)
Appears in 1 contract
Release of All Claims and Covenant Not to Sue. In consideration of my use of the of University of Illinois Activity and Recreation Center Climbing Wall, I, (printed name) for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Board of Trustees of the University of Illinois and its respective officers, employees, and agents from liability from any and all claims including those which result in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to a claim of negligence which I, my heirs, representatives, executors, administrators, and assigns may now have, or have in the future against the University on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to my use of the ARC Climbing Wall, whether that use is supervised or unsupervised. I hereby certify that I have full knowledge of the nature and extent of the risks inherent in the use of the ARC Climbing Wall and that I am voluntarily assuming the risks. I understand that I will be solely responsible for any loss or damage, including death, that I sustain while using the ARC Climbing Wall and that by this agreement I am relieving the University of any and all Liability for such loss, damage, or death. I further certify that I am in good health and that I have no physical limitations, which would preclude my safe use of the ARC Climbing Wall. I further certify that my present age is and that I am therefore of lawful age (18 years or older) and otherwise legally competent to sign this agreement. I further understand that the terms of this agreement are legally binding and I certify that I am signing this agreement, after having carefully read the same, of my own free will. In witness whereof, this instrument is duly executed at Champaign, Illinois, this day of , 20 . / / ARC Climbing Wall user’s signature/date ARC Climbing Wall user’s printed name/date / / Witness’ signature/date (Campus Recreation employee) Witness’ printed name/date / / Parent/guardian of minor (under 18) signature/date Parent/guardian printed name/date ARC Climbing Wall Helmet Waiver I agree, on behalf of myself and/or any minor children for whom I am responsible, that there are inherent dangers involved with climbing activities and that I/we assume all risks associated with such activities. I/we realize that I/we are subject to injury from this activity. I/we further understand that the University of Illinois and Campus Recreation safety policies and procedures require the use of and wearing of safety protective helmets, which could prevent injury to my/our head, including, but not limited to, permanent brain damage and death. Against the advice of the University of Illinois and Campus Recreation staff I/we am refusing this critical precaution and I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Board of Trustees of the University of Illinois and its respective officers, employees, and agents from liability from any and all claims including those which result in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, my voluntary refusal to wear a safety helmet. Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD the Board of Trustees of the University of Illinois HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, brought as a result of my voluntary refusal to wear a safety helmet and to reimburse it for any such expenses incurred. Date: , 20 e-mail: @ Signature of Participant Participant name, printed clearly Signature of Parent/Guardian of Minor (under 18)date
Appears in 1 contract
Samples: campusrec.illinois.edu
Release of All Claims and Covenant Not to Sue. In consideration of my use of the of University of Illinois Activity and Recreation Center Kentucky Climbing Wall, II , (printed name) for the undersigned user, agree to release and on behalf of myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Board of Trustees of the University of Illinois and its respective officers, employees, and agents from liability from any and all claims including those which result in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to a claim of negligence which I, my heirs, representatives, executors, administrators, and assigns HEREBY DO RELEASE University of Kentucky, its trustees, officers, agents, and employees from any cause of action, claims, or demands of any nature whatsoever, including but not limited to a claim of negligence, which I, my heirs, representatives, executors and assigns may now nor have, or have in the future against the University of Kentucky on account of personal injury, property damage, death or accident of any kind, arising rising out of or in any way related to my use of the ARC Climbing Wall, whether that use is supervised or unsupervised. In consideration of my use of the Climbing Wall I, the undersigned user, agree to INDEMNIFY AND HOLD HARMLESS the University of Kentucky, its trustees, officers, agents, and employees from any and all causes of action, claims, demands, losses or costs of any nature whatsoever arising out of or in any way relating to my use of the Climbing Wall. I hereby certify that I have full knowledge of the nature and extent of the risks inherent in the use of the ARC Climbing Wall and that I am voluntarily assuming the risks. I understand that I will be by solely responsible responsibly for any loss or damage, including death, that I sustain while using the ARC Climbing Wall and that by this agreement I am relieving the University of Kentucky of any and all Liability liability for such loss, damage, or death. I further certify that I am in good health and that I have no physical limitations, which would preclude my safe use of the ARC Climbing Wall. I further certify that my present age is , I was born on and that I am therefore of lawful age (18 years or older) and otherwise legally competent to sign this agreement. I further understand that the terms of this agreement are legally binding and I certify that I am signing this agreement, after having carefully read the same, of my own free will. In witness whereof, this instrument is duly executed at ChampaignLexington, IllinoisKentucky, this day of , 20 . / / ARC Climbing Wall climbing wall user’s signature/date ARC Climbing Wall signature climbing wall user’s name, printed clearly witness’ signature witness’ name/date / / Witness’ signature/date (Campus Recreation employee) Witness’ , printed name/date / / Parent/guardian of minor (under 18) signature/date Parent/guardian printed name/date ARC Climbing Wall clearly UNIVERSITY OF KENTUCKY CLIMBING WALL Helmet Release Waiver I agree, on behalf of myself and/or on behalf of any minor children for whom I am responsibleresponsible for, that there are inherent dangers involved with climbing activities and that I/we assume all risks associated with such activities. I/we realize that I/we are subject to injury from this activity. I/we further understand that the University of Illinois Kentucky safety Policies and Campus Recreation safety policies and procedures Procedures require the use of and wearing of safety protective helmets, which could prevent injury to my/our head, including, but not limited to, permanent brain damage and deathdamage. Against the advice advise of the University of Illinois and Campus Recreation staff Kentucky I/we am refusing this critical safety precaution and I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, thereby waive and covenant not to sue the Board of Trustees of release the University of Illinois and its respective officers, employees, and agents from liability Kentucky from any and all claims including those which result in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, liability associated with my voluntary refusal to wear a safety helmet. Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD the Board of Trustees of the University of Illinois HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, brought as a result of my voluntary refusal to wear a safety helmet and to reimburse it for any such expenses incurred. Date: , 20 e-mail: @ Signature of Participant Participant signature name, printed clearly Signature of Parent/Guardian of Minor (under 18)clearly
Appears in 1 contract
Samples: 4-h.ca.uky.edu
Release of All Claims and Covenant Not to Sue. In consideration of my use of the of Xxxxxx State University of Illinois Activity and Recreation Center Climbing Wall and/or Bouldering Wall, I, (printed name) for I agree to release and on behalf of myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Board of Trustees of the University of Illinois and its respective officers, employees, and agents from liability from any and all claims including those which result in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to a claim of negligence which I, my heirs, representatives, executors, administrators, and assigns HEREBY DO RELEASE Xxxxxx State University, its officers, agents, and employees from any causes of action, claims, or demands of any nature whatsoever, which I, my heirs, representatives, executors and assigns may now have, or have in the future against the Xxxxxx State University on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to my use of the ARC Climbing Wall and/or Bouldering Wall. In consideration of my use of the Climbing Wall and/or Bouldering Wall I, whether that the undersigned user, agree to INDEMNIFY AND HOLD HARMLESS Xxxxxx State University, its officers, agents, and employees from any and all causes of action, claims, demands, losses, or costs of any nature whatsoever arising out of or in any way relating to my use is supervised or unsupervisedof the Climbing Wall and/or Bouldering Wall. I hereby certify that I have full knowledge of the nature and extent of the risks inherent in the use of the ARC Climbing Wall and/or Bouldering Wall and that I am voluntarily assuming the these risks. I understand that I will be by solely responsible for any loss or damage, including death, that I sustain while using the ARC Climbing Wall and/or Bouldering Wall and that by this agreement I am relieving the University of any and all Liability liability for such loss, damage, or death. I further certify that I am in good health and that I have no physical limitations, which limitations that would preclude my safe use of the ARC Climbing Wall and/or Bouldering Wall. I further certify that my present age is and that I am therefore of lawful age (18 years or older) and otherwise legally competent to sign this agreementBY SIGNING THIS DOCUMENT, IT IS OUR INTENTION TO EXEMPT AND RELIEVE XXXXXX STATE UNIVERSITY, ITS OFFICERS, AGENTS, OR EMPLOYEES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH CAUSED BY ANY REASON WHILE PARTICIPATING AT THE CLIMBING WALL AND/OR BOULDERING WALL. I further understand that the terms of this agreement are legally binding and I certify that I am signing this agreement, after having carefully read the same, of my own free will. In witness whereof, this instrument is duly executed at Champaign, Illinois, this day of , 20 . / / ARC Date Climbing Wall Wall/ Bouldering user’s signature/date ARC signature Climbing Wall Wall/ Bouldering user’s printed name/date / / Witness’ signature/date name Parent or Guardian's signature (Campus Recreation employee) Witness’ printed name/date / / Parent/guardian of minor (if under 18) signature/date Parent/guardian Parent or Guardian's printed name/date ARC Climbing Wall Helmet Waiver I agree, on behalf of myself and/or any minor children for whom I am responsible, that there are inherent dangers involved with climbing activities and that I/we assume all risks associated with such activities. I/we realize that I/we are subject to injury from this activity. I/we further understand that the University of Illinois and Campus Recreation safety policies and procedures require the use of and wearing of safety protective helmets, which could prevent injury to my/our head, including, but not limited to, permanent brain damage and death. Against the advice of the University of Illinois and Campus Recreation staff I/we am refusing this critical precaution and I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Board of Trustees of the University of Illinois and its respective officers, employees, and agents from liability from any and all claims including those which result in personal injury, accidents or illnesses name (including death), and property loss arising from, but not limited to, my voluntary refusal to wear a safety helmet. Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD the Board of Trustees of the University of Illinois HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, brought as a result of my voluntary refusal to wear a safety helmet and to reimburse it for any such expenses incurred. Date: , 20 e-mail: @ Signature of Participant Participant name, printed clearly Signature of Parent/Guardian of Minor (if under 18)
Appears in 1 contract
Samples: Wright State University