I wish to participate, or, as the parent/legal guardian of the participant, I wish for my minor child or ward to participate (“Participant”) in the following physical activities and/or exercise program: Kansas University Physical Activity Program (the “Program”). I recognize that there are inherent risks of injury to participating in the Program, and that participating in the Program is voluntary and at Participant’s own risk. I understand that I have been urged to consult with a physician in advance regarding Participant’s participation in the Program. In exchange for participation in the Program, I hereby release and waive KU Medical Center, The University of Kansas, The State of Kansas, The Kansas Board of Regents, any corporations or entities affiliated with the foregoing, and all employees, officers, agents, representatives and volunteers of the foregoing (the “Released Parties”) from liability of any kind, of or to me or any other person, directly arising out of or in connection with participation in the Program. I further agree to hold harmless, indemnify and reimburse the Released Parties from and for any sums, costs, or expenses incurred by any of the Released Parties or paid by them to any person (including me or my insurers) in connection with any accident, loss, damage, or injury sustained by me or others in connection with participation in the Program. This means I will reimburse the Released Parties if anyone makes a claim against them based on damages or injuries I and/or Participant may suffer.
BY REGISTERING FOR THE PROGRAM, I ACKNOWLEDGE THAT I HAVE CAREFULLY READ ALL OF THE FOREGOING AND AGREE TO ALL THE TERMS AND CONDITIONS STATED THEREIN.
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