UTSA RELEASE AND INDEMNIFICATION AGREEMENT FOR PARTICIPANTRelease and Indemnification Agreement • September 26th, 2022
Contract Type FiledSeptember 26th, 2022Name of Participant Student Identification Numberif Enrolled at UTSA Name of Parent/Guardian ifParticipant is < 18 years old Address Age of Participant Emergency Contact/Phone Number Description of Activity/Trip (including all associated travel) Location of Activity/Trip Date of Activity/Trip
UTSA RELEASE AND INDEMNIFICATION AGREEMENT FOR PARTICIPANT To maintain a one- page format, use only the “arrow” or “tab” keys – not the “enter” key.Release and Indemnification Agreement • April 30th, 2020
Contract Type FiledApril 30th, 2020By signing below, I consent to the Participant’s participation in the above-described (“Activity/Trip”) and I certify that there is no medical reason why Participant should not participate in the Activity/Trip. I acknowledge that the nature of the Activity/Trip may expose Participant to hazards or risks that may result in Participant’s illness, personal injury or death, and I understand and appreciate the nature of such hazards and risks. I understand that Participant may have unsupervised access to the internet while on the UTSA campus or while otherwise participating in the Activity/Trip.