Please read the following carefully.
Online Application Form
Release and Discharge, Acknowledgement of Risks, and Acceptance of Risk & Responsibility
I hereby acknowledge, agree, promise, and covenant with and release and discharge the University of Illinois and its employees, the University of Minnesota-Duluth and its employees, Michigan State University and its employees, the University of the Pacific and its employees, the University of Wisconsin and its employees, and the property owners Brandon Richins, Kathleen & Ron Stone, Jeff Edison, Robert Siddoway, Rona Wright-Robinson, and Jerrold Richins (All Releasees) on behalf of myself, my heirs, assigns, personal representative and estate as follows:
Acknowledgement of Risks
I wish to participate in the Wasatch-Uinta Summer Field course conducted in June and July each summer. I understand that participating as a student in this course is strenuous and consists of potentially hazardous activities. I further understand that I should not participate in this course unless I am physically and mentally capable to safely participate. I, knowing this, hereby certify that to the best of my knowledge I am physically and mentally capable of participating in field geology and have no medical condition that could worsen by participating in this course.
I understand and acknowledge that the activities I am about to deliberately engage in as a participant and/or volunteer bear certain unknown and unanticipated risk which could result in injury, death, physical or mental illness or disease, or damage to myself, to my property, to spectators, or other third parties. I understand and acknowledge those risks may result in personal claims against Releasees or myself by spectators or other third parties. Among these risks are the following: (1) The nature of the activity itself, particular risks of activity; (2) the acts or omissions of Releasees and other persons or entities; (3) latent or apparent defects or conditions in equipment or property supplied by Releasees, or other persons or entities; (4) use or operation, by myself or others, of equipment supplied by Releasees or other persons or entities; (5) acts of Releasees, participants in this activity, or other persons; (6) weather conditions including but not limited to: lightning, wind, avalanche, and rock fall; (7) contact with plants or animals or other environmental hazards; (8) my own physical condition, or my own acts or omissions; (9) conditions of roads, trails, waterways, terrain, and routes taken and accidents connected with their use; (10) first-aid, emergency treatment or other services rendered; (11) consumption of food or drink; (12) other unknown and unanticipated risks.
I understand and acknowledge that the above list is not complete or exhaustive, and that other risks, known or unknown, identified or unidentified, anticipated or unanticipated may also result in injury, death, illness, disease, or damage to myself, to my property, or to spectators or other third parties. I expressly accept those risks not specifically listed above as well.
Acceptance of Risk & Responsibility
Having read this waiver and knowing the above facts related to the participation in Field Geology, I am aware that this activity entails risk or injury to myself and a risk or injury to spectators or other third parties as a result of my action, I expressly agree, covenant and promise to accept and assume all responsibility and risk for injury, death, illness, disease, or damage to myself or my property arising form my participation in this activity. I expressly agree, covenant and promise to accept and assume all responsibility and risk for injury, death, illness, disease, or damage to spectators, other third parties, and their property arising from my participation in this activity. This waiver and release extends to all claims of any kind or nature whatsoever, including claims or suits at law or in equity, whether foreseen or unforeseen, known or unknown. My participation in this activity is purely voluntary; no one is forcing me to participate, and I elect to participate in spite of the risks.