UTAH VALLEY UNIVERSITY
RISKS AND HAZARDS STATEMENT OF UNDERSTANDING AND RELEASE
The undersigned hereby acknowledges and agrees to the following:
1.
I, ___________________________________ ("Participant"), expect and intend to participate in
the _____________________________________________________ activity sponsored by Utah
Valley University (“Activity”), which is scheduled to take place on ____________________.
2.
In consideration of Utah Valley University's sponsorship and direction of the Activity, Participant
hereby states that he/she has read and fully understands the Risks and Hazards Statement, included
herein, and releases and discharges the State of Utah, Utah Valley University, and its or their
trustees, officers, agents, employees, and volunteers from any and all claims, damages, losses or
injuries connected therewith, including but not limited to any loss, damage or injury suffered by
Participant or others, arising out of this Activity.
3.
Participant further understands and agrees that during the Activity he/she will be under the
direction of the instructor or director approved by Utah Valley University and specifically agrees
to comply with all reasonable directions and instructions by the instructor or director during the
course thereof.
Risks and Hazards
4.
Participant understands and acknowledges that there are specific risks of injury to person and/or
property that are associated with Activity, including risks related to exertion, travel hazards,
terrain, weather, hypothermia, falls, and other circumstances. Participant specifically assumes the
risks associated with such conditions.
5.
Participant certifies and represents that, if he/she drives a personal vehicle to, from, and/or during
the Activity, the vehicle must be covered throughout the period of Activity by a motor vehicle
liability insurance policy, currently in effect, with limits of coverage and liability that satisfy the
requirements of the Utah Motor Vehicle Safety Responsibility Act, 1952 Utah Code Anno. 41-121 et seq.
6.
Participant understands and acknowledges that Utah Valley University assumes no liability for
personal injuries or property damages to Participant or to third parties arising out of Activity.
Participant agrees to indemnify and hold harmless the State of Utah, Utah Valley University, and
its or their trustees, officers, agents, employees, and volunteers against all losses, damages,
liabilities, fees, judgments, costs and expenses, including attorneys’ fees and other legal expenses,
arising directly or indirectly from or in connection with the acts or omissions of Participant during
the Activity or from Participant’s violation of this Risks and Hazards Statement of Understanding
Updated last: July/2015
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and Release, subject to any limitations or restrictions against such indemnification that are imposed
by law.
7.
Participant acknowledges and understands that there may be unsupervised times before, during, or
after the hours of the Activity. Participant agrees that during these times Participant will conduct
him/herself responsibly and will adhere to all applicable policies and laws in effect. Failure to
comply with this section may result in physical harm or property loss due to hazards beyond the
control of Utah Valley University. Failure to comply may also result in expulsion from Activity
without any refund of fees that Participant may have paid to participate in Activity. Utah Valley
University will not be responsible for any such acts nor any costs resulting from Participant’s
expulsion from Activity.
8.
Participant hereby understands that he/she shall arrange for appropriate personal health insurance
coverage (e.g., hospital/medical insurance, student health insurance, etc.) during the period of
Activity. Participant agrees and understands that he/she will be personally responsible for any
medical costs incurred during this Activity.
9.
Participant agrees not to use illegal drugs or alcohol while undertaking this Activity and to abide
by all provisions of Utah Valley University Student Rights & Responsibilities Code at all times
while participating in the Activity.
In case of emergency, contact _____________________________________ at __________________.
Date __________________________________
Print Name Legibly: ____________________________________________________
Signed: ________________________________________________
Participant
Updated last: July/2015
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