I acknowledge that my dependent’s participation in the Pull a Plane (the “Activity”), hosted by Doc's Friends and the WSU Tech Foundation (“Host”) to be held on or from Saturday, October 7, 2023, involves a risk of injury, and assume the risk for the same. I understand and acknowledge that my dependent not required to participate in the Activity and that participation is wholly voluntary.
In consideration of Host's agreement to permit my dependent to participate in the aforementioned Activity, the receipt and sufficiency of which consideration is hereby acknowledged, I agree as follows:
I, individually, and on behalf of my dependent, heirs, successors, assigns, and personal representatives, hereby release, acquit and forever discharge the Releasees from any and all liability whatsoever, including the Releasee’s own negligence, for any and all damages, losses or injuries, including death, mental anguish or emotional distress to persons and/or property, including but not limited to any claims, demands, actions, causes of action, damages, costs, expenses (including hospital and medical expenses) and attorneys’ fees, which arise out of, during, or in connection with participation in the aforementioned Activity, including but not limited to any damages, losses, or injuries to persons or property or both, which may be sustained or suffered by me or any person in connection with my dependent’s association with, or participation in the Activity.
I, individually, and on behalf of my dependent, heirs, successors, assigns, and personal representatives, hereby agree to indemnify, defend and hold harmless the Releasee’s from any and all liability, loss or damages they or any of them incur or sustain as a result of any claims, demands, damages, actions, causes of action, judgments, costs or expenses, including attorneys’ fees, which result from, arise out of or relate to my dependent’s participation in the aforementioned Activity.
I, individually, and on behalf of my dependent, heirs, successors, assigns, and personal representatives, hereby agree not to sue, or to seek any money from or judgment against Releasee’s for any injury to my dependent or damage to my property as a result of my attendance at or participation in the aforementioned Activity.
I agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Kansas, and if any portion hereof is held invalid, it is agreed that the balance hereof shall, notwithstanding, continue in full legal force in effect.
In the event of any cause of action, the laws of the State of Kansas apply and the jurisdiction lies with the state or federal courts in Sedgwick County, Kansas.
I hereby acknowledge and accept that there are certain risks, known and unknown, including serious bodily injury and death, and serious injury or impairment to other aspects of my dependent’s body, general health, and well-being, that could result from my dependent’s participation in the aforementioned Activity, which will include strenuous physical activity. I have knowingly and voluntarily decided to assume the risk of these inherent dangers on behalf of my dependent in consideration of the Releasee’s permission to allow my dependent to participate in the aforementioned Activity and understand that such risks cannot be eliminated. I further certify that I am willing to assume the risk of any medical or physical condition my dependent may have. I hereby release and discharge the Releasee’s from any and all negligence, including the Releasee’s own negligence, in connection with my dependent’s attendance at, or participation in the Activity.
I hereby acknowledge that my dependent does not have any medical condition that would inhibit my dependent’s participation in the Activity. I agree that my dependent will follow the directions of the Activity staff members and comply with the stated and customary precautions for participation in the Activity. Activity staff members may render first aid and/or obtain medical treatment deemed necessary. I agree that I will be financially responsible for all costs incurred on behalf of my dependent thereby, regardless of insurance coverage. I further hereby give my consent for any medical treatment that may be required, as determined by a medical professional at the medical facility, during my dependent’s participation in the Activity, with the understanding that the cost of any such treatment will be solely my responsibility. I release and discharge the Releasee’s of all responsibility and liability for any injuries, illnesses, medical bills, charges, co-pays, deductibles or similar expense, whether covered by health insurance or not that my dependent may incur while participating in or attending the Activity.
I hereby consent to any publicity, including the use of my dependent’s name and likeness, and waive any right to inspect and/or approve any images, recordings or other record (e.g., photography, film, videotape, recordings or advertising copy, etc.) which may be used in connection with my dependent’s participation or attendance at the Activity including, but not limited to social media accounts. I understand that I will not be compensated in any way for such use.
I agree that my dependent will follow all rules, policies, procedures and instructions issued by Host during participation in the Activity.
I acknowledge and represent that I have carefully read this Release and have legal authority to sign on behalf of my dependent; that I sign it as my own free act and deed; that I am fully competent to sign this Release and that the consideration for signing this Release is full and adequate. It is my express intent that, while I am alive, this Release will bind me, my dependent, my spouse, and the members of my family; and that in the event of my dependent’s death, this Release will also bind my estate, heirs, administrators, personal representatives, and assigns.