Accident Waiver and Release of Liability Form
PhenomeCon
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPANTING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS ACTIVITY AND/OR EVENT, including, by way of example but not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.
I certify that I am physically capable of participating in this event, have sufficiently prepared or trained for participation in this activity and/or event, and have not been advised to not participate by any medical professional. I certify that there are no health-related reasons or problems which preclude me from safely participating in this activity and/or event.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity and/or event in which I may participate, and that it will govern my actions and responsibilities at said activity and/or event.
In consideration of my application to participate in this event, and the event holders permitting me to participate in this activity and/or event, I hereby take actions for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me, including my traveling to and from this activity and/or event, THE FOLLOWING ENTITIES OR PERSONS: PhenomeCon, Uintah County, Vernal City and/or the foregoing entities’ directors, officers, employees, volunteers, representatives, advertising clients, and agents, and the activity and/or event holders, sponsors, and volunteers;
(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons identified in this paragraph from any and all liabilities or claims made as a result of participation in this activity and/or event, whether caused by their negligence or otherwise.
I acknowledge that Uintah County, Vernal City and their directors, officers, volunteers, representatives, advertising clients, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity and/or event on their behalf.
I acknowledge that this activity and/or event may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, drowning, broken bones, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including but not limited to, participants, volunteers, monitors, and/or producers of the activity and/or event. These risks are not only inherent to participants, but are also present for volunteers.
I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity and/or event.
I understand that, while participating in this activity and/or event, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by PhenomeCon, Uintah County, and Vernal City, the event holders, producers, sponsors, organizers, and assigns.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.
