I acknowledge that this 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: Uintah Basin Energy Summit, Uintah County 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.
(C) The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I might be exposed or infected by COVID-19 by attending the Uintah Basin Energy Summit and such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Uintah Basin Energy Summit and agree to 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 my exposure or infection due to participation in this activity and/or event, whether caused by their negligence or otherwise.
I acknowledge that Uintah County 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 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 Uintah County, the event holders, producers, sponsors, organizers, and assigns.
The 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.