Release And Waiver Of Liability And Program Participation Agreement University Of Arkansas Education Abroad Programs

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SKATEBOARDING WAIVER & RELEASE FORM
PARTICIPANT RELEASE OF LIABILITY—READ BEFORE SIGNING
In consideration for being allowed to participate (skateboard) in any way at REVOLUTION457
, its related events, and activities, the undersigned acknowledges,
// LIVING WATERS CHRISTIAN ASSEMBLY
appreciates, and agrees that:
1. The risk of injury from the activities involved in these programs is significant, including the
potential for permanent disability and loss, and while particular rules, equipment, and
personal discipline may reduce this risk, the risk of serious injury to me does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown,
EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES (as defined in
paragraph 4 below) or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary rules, terms and conditions for
participation. ; and
4. I, FOR MYSELF AND ON BEHALF OF MY HEIRS, ASSIGNS, PERSONAL
REPRESENTATIVES AND NEXT OF KIN, HEREBY RELEASE, INDEMNIFY AND
HOLD HARMLESS REVOLUTION457 // LIVING WATERS CHRISTIAN ASSEMBLY,
FROM ANY AND ALL
CLAIMS
ARISING
OUT
OF
MY
PRESENCE
AT
REVOLUTION457 // LIVING WATERS CHRISTIAN ASSEMBLY, INCLUDING, BUT
NOT LIMITED TO, CLAIMS FOR ANY AND ALL INJURIES, DISABILITY, DEATH,
LOSS OR DAMAGE TO PERSON OR PROPERTY,WHETHER ARISING FROM THE
NEGLIGENCE OF THE RELEASES OR OTHERWISE, TO THE FULLEST EXTENT
PERMITTED BY LAW, INCLUDING ATTORNEY’S FEES AND ATTORNEY’S FEES ON
APPEAL.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT,
FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY
WITHOUT ANY INDUCEMENT. I attest that I am physically fit and I am prepared for this
activity. I also waive and release the use of my photograph or likeness for any reason or
purpose. I WANT TO PARTICIPATE IN THIS HAZARDOUS SPORT!
MEDICAL RELEASE: In the event that I am unconscious or otherwise unable to make
medical decisions for myself in an emergency, I hereby give permission for medical treatment,
and related transportation, to any licensed physician, surgeon, clinic, hospital or ambulance
service to secure proper treatment, and to order anesthesia, for myself as named above. I am
allergic to the following medications:
please list here ::

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