WAIVER, RELEASE AND INDEMNIFICATION AGREEMENT
FOR MULTI-TRIP TRAVEL IN A PERSONAL VEHICLE
BEING USED FOR UNIVERSITY BUSINESS
I _________________________ (guest name) desire to travel in a personal vehicle while it is
being used for University of Wyoming (herein after “University”) business. I anticipate I will make
multiple trips during the period beginning _________________ (start date of the period for which the
waiver is being filed) and ending _________________ (end date of the period for which the waiver is
being filed). I have completed the attached estimate of the travel I will attend in a personal vehicle and
understand that this waiver will apply to all trips in a personal vehicle being used for University business
during the waiver period identified above, whether they are included in the attached estimate or not. I
understand and acknowledge that I am not required to travel. My travel is wholly voluntary. In
consideration of the University of Wyoming’s agreement to permit me to travel, the receipt and
sufficiency of which is hereby acknowledged, I agree as follows:
1) I, individually, and on behalf of my heirs, successors, assigns and personal
representatives, hereby release and forever discharge the University and its employees, agents, officers,
trustees and representatives (in their official and individual capacities), from any and all liability
whatsoever for any and all damages, losses or injuries (including death) I sustain to my person or property
or both, including but not limited to any claims, demands, actions, causes of action, judgments, damages,
expenses and costs, including attorneys fees, which arise out of, result from, occur during or are
connected in any manner with my travel identified above or any associated activity at the destination or
any stops between the origin location and the destination, whether sponsored by the University or not.
2) I, individually, and on behalf of my heirs, successors, assigns and personal
representatives, hereby agree to indemnify, defend and hold harmless the University and its employees,
agents, officers, trustees and representatives (in their official and individual capacities), from any and all
liability, loss, damage or expense, including attorneys fees, that they or any of them incur or sustain as a
result of any claims, demands, actions, causes of action, damages, judgments, costs or expenses, including
attorneys fees, which arise out of, occur during, or are in any way connected with my travel identified
above or any associated activity at the destination or any stops between the origin location and the
destination, whether sponsored by the University or not.
3) I agree that this Waiver, Release and Indemnification Agreement is to be construed
under the laws of the State of Wyoming including, but not limited to, the Wyoming Governmental Claims
Act, and that if any portion hereof is held invalid, the balance hereof shall, notwithstanding, continue in
full legal force and effect. In signing this document I hereby acknowledge that I have read this entire
document, that I understand its terms, that by signing it I am giving up substantial legal rights I might
otherwise have, and that I have signed it knowingly and voluntarily.
Dated: ______________________
__________________________________________ ____________________________________
(Signature) (Printed Name)
_____________________________________________________
Relationship to guest identified above (if the document is being
signed on behalf of the guest, for example by a parent or guardian of a minor)
