Waiver of Liability and Hold Harmless Agreement
I, the undersigned participant in the above event,
acknowledge that I have suffered an injury or illness during said event and
have been offered medical assistance and/or transport to a medical facility for
said injury. However, I have declined such medical assistance/transport to a
medical facility and have willingly elected to continue in the above event with
full understanding that my conduct may increase my risk of serious injury or
death, including other unknown risks not reasonably foreseeable at this time,
and that I willingly agree to assume all risk and accept personal
responsibility for my actions and any damages as a result of such injury,
including permanent disability or death, and I do hereby release, discharge and
covenant to indemnify and not to sue the organizer(s), including but not limited to Union Adventist
University, its affiliates, board members, respective officers, directors,
employees, agents, successors, assigns, and each of them, of said event, its affiliated organizations and sponsors,
employees and associated personnel, officers, directors, agents, including the
owners and lessors of premises used to conduct the event, and I also agree to
save and hold harmless and indemnify each and all parties herein referred to
above from all liability, loss, cost, claim or damage whatsoever as a result of
my actions referenced herein.
IN SIGNING THIS RELEASE, I ACKNOWLEDGE AND
REPRESENT THAT I have read the foregoing Waiver of Emergency Medical Treatment,
understand it, and sign it voluntarily by my own free act and deed; and that I
am at least nineteen (19) years of age and fully competent to execute this
agreement.