UTAH SUMMER GAMES ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY

Read this Acknowledgement of Risk and Waiver of Liability carefully and in its entirety.  It is a binding legal document.  Please read both sides of this page. If you are under the age of 18, this form must be signed by you as the participant AND by your parent or legal guardian. 

In consideration of being allowed to participate in any way in the UTAH SUMMER GAMES athletics/sports program and related events and activities (hereafter referred to as ACTIVITY), I, the undersigned, am aware that participation in the ACTIVITY, may cause injury, illness, and be dangerous.  I acknowledge that participation in this ACTIVITY bears risks and dangers from which bodily injury and illness, up to and including PERMANENT DISABILITY, PARALYSIS AND DEATH, may occur 

I agree to conduct myself in a manner that is considerate of other participants and in accordance with the Utah Summer Games Athlete Code of Conduct and Southern Utah University Policies and Procedures, as applicable. Furthermore, I will conduct myself in accordance with any federal, state, city and other applicable laws or rules where the ACTIVITY is occurring. 

I acknowledge that the Utah Summer Games has the right to terminate my participation in the Activity if it is determined that my conduct is detrimental to the best interests of the group, my conduct violates any rule of the Activity, or for any other reason in the discretion of the Utah Summer Games.
 
With full knowledge of the facts and circumstances surrounding the ACTIVITY, I voluntarily participate in the ACTIVITY and assume the responsibilities and risks resulting from my participation, including all risk of property damage and injury or illness to others and to myself. I agree to comply with all of the rules and conditions of participating in the ACTIVITY. I have adequate applicable insurance necessary to provide for and pay any medical costs that may directly or indirectly result from my participation in the ACTIVITY, or otherwise understand that I am solely responsible for any medical costs that may directly or indirectly result from my participation in the ACTIVITY.  I will indemnify the Utah Summer Games Foundation, Southern Utah University, its officers, board members, agents, and employees (herein referred to as USG) harmless with respect to any and all claims, injuries, illnesses, and costs associated with my participation in this ACTIVITY.   

I recognize and acknowledge that the USG may record my participation and appearance in ACTIVITY on any recorded medium including, but not limited to video, audio, photos (collectively "recordings") for use in any form (including, but not limited to print, websites, blogs, internet, social media).  I authorize such recording and release USG to use my name, likeness, voice, and biographical material to exhibit or distribute such recordings in whole or in part without restrictions or limitations for any educational or promotional purpose. I understand if I would like to opt out of this section, I must contact stephanieclarke@suu.edu at least one week (7 days) before the date of the ACTIVITY.  

In signing this acknowledgement, I permit the Utah Summer Games to share my information, including my name, address, email address, phone number, and high school graduation year, with other Southern Utah University (SUU) departments, SUU vendors and contracted partners for the purpose of sending me information about SUU. I understand if I would like to opt out of this section, I must contact stephanieclarke@suu.edu at least one week (7 days) before the date of the ACTIVITY.  

To the extent permitted by law, and in consideration for being allowed to participate in the ACTIVITY, I hereby save, hold harmless, discharge and release the USG from any and all liability, claims, causes of actions, damages or demands of any kind and nature whatsoever that may arise from or in connection with my participation in any activities related to the ACTIVITY, whether caused by the negligence or carelessness of the USG or otherwise.

It is my express intent that this Acknowledgement of Risk and Waiver of Liability shall bind my spouse, the members of my family and my estate, heirs, administrators, personal representatives and assigns.  I further agree to save and hold harmless, indemnify and defend the USG from any claim by the aforementioned parties arising out of my participation in the ACTIVITY.

I recognize and acknowledge that the USG makes no guarantees, warranties, representations, or other promises relative to the ACTIVITY, and assumes no liability or responsibility for injury, illness, or property damage that I may sustain as a result of participation in the ACTIVITY. 
I further understand and agree that this is a release of liability and indemnity agreement, and it is intended to be as broad and inclusive as permitted by law. If any portion hereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full force and legal effect.  

I hereby certify that, with or without accommodation,* I have no health-related reasons or problems that preclude or restrict my participation in the ACTIVITY.  I hereby consent to and understand myself to be solely responsible for the cost of first aid, emergency medical care, and, if necessary, admission to an accredited hospital for executing such care or treatment for injuries or illnesses that I may sustain while participating in any activity associated with the ACTIVITY.

I understand if my participation requires an accommodation, I must contact Stephanie Clarke at 435-865-8780 at least one week (7 days) before the date of the ACTIVITY.

In signing this Acknowledgement of Risk and Waiver of Liability I hereby acknowledge and represent:  (a) that I have read this document in its entirety, understand it, and sign it voluntarily; and (b) that this Acknowledgement of Risk and Waiver of Liability is the entire agreement between the parties hereto and its terms are contractual and not a mere recital.

IF PARTICIPANT IS UNDER 18
I certify that I am the parent or legal guardian of the above-named participant in the ACTIVITY.  On behalf of myself and my spouse, partner, co-guardian or any other person who claims the participant as a dependent, I have read the above agreement, I understand the contents of this Acknowledgement of Risk and Waiver of Liability, assent to its terms and conditions, and sign this Acknowledgement of Risk and Waiver of Liability of my own free act.  I acknowledge that my dependent and I have agreed to the terms and conditions of my dependent's participation in the ACTIVITY, and I hereby give my consent to participation by my dependent in the ACTIVITY, and to receive medical treatment determined to be necessary.  I further agree to hold harmless, indemnify and defend the USG from and against all claims, demands or suits that my dependent has or may have.