Waiver & Release of Liability
*
Informed Consent to Participate
This is a legally binding release made to Grand Valley State
University (GVSU). I fully recognize that there are dangers and risks
to which I may be exposed by participating in this club sport activity
at GVSU. I understand there are dangers and risks associated with all
physical activity including the risk of physical injury.
I understand I should have adequate health to participate in this
activity. It is my responsibility to check with a physician of my
choice about my health status if there is any question regarding my
fitness for participation. If at any time during participation I
experience any physical distress, or have any questions or
concerns regarding my participation, I will notify a University
official immediately. I understand that my participation in this club
sport activity is completely voluntary.
Assumption of Risk & Release for Participation
In consideration for being permitted to participate in a GVSU club
sport activity, I, the undersigned, in full recognition and
appreciation of the dangers and hazards inherent to participating in
this activity and its sponsored programs and travel, do hereby agree
to assume all the risks and responsibilities surrounding my
participation and further, I do for myself, my heirs, and personal
representative(s) hereby defend, hold harmless, indemnify, and
release, and forever discharge GVSU, its officers, agents and
employees from and against and all claims, demands, and actions, or
causes of action, on account of damage to personal property, or
personal injury, or death which may result from my participation, and
which result from causes beyond the control of, and without the fault
or negligence of GVSU, its officers, agents, and employees, during the
period of my participation.
In the event I become injured while participating, I understand that
my personal medical insurance will provide my primary source of
coverage for any medical bills incurred. In addition, I understand
that GVSU does not have medical personnel available at the location of
the activity or on the campus. GVSU, its officers, agents or employees
are hereby granted permission to authorize emergency medical
treatment, if necessary, subject to the terms of this Agreement. I
understand and agree that the University, its officers, agents or
employees assume no responsibility for any injury or damage, which
might arise out of or in connection with such authorized emergency
medical treatment.
Signature of Waiver of a parent/legal guardian for a
participant under 18 years of age.
I am the parent/legal guardian of the participant listed above and I
grant permission for them to participate in this activity. I have
reviewed the GVSU risks associated with this activity and rules for
participation with the minor participant. I certify that I am legally
competent to grant permission as adult and warrant my authority as the
parent/legal guardian.