Name: (“Participant”)
Phone Number:
(the “Activity”).
This Activity Participation Agreement (the “Agreement”) is entered into as of the last signature date below,
by and between Utah Valley University, a body politic and corporate of the State of Utah (“UVU”), and
Participant acknowledges that this Agreement contains, among other provisions, the following
contractual terms: an assumption of risk, a covenant not to sue, a release of the Participant’s claims,
and indemnification obligations. Participant represents that Participant is 18 years of age or older and is
fully competent and authorized to sign this Agreement. In consideration for UVU permitting Participant to
engage in the Activity, Participant, and for its respective heirs, personal representatives, and assigns, agrees
as follows:
Assumption of Risk. Participant represents that Participant is qualified, in good health, and in proper
physical condition to participate in the Activity. Participant acknowledges and understands that the Activity
may include but is not limited to the following: physical activities (e.g., running, jumping, climbing); physical
exertion such as lifting or moving heavy objects; spending extended periods of time outdoors being exposed
to the elements (sun, wind, rain); travel to and from the Activity; and consumption of food and/or beverage.
Participant acknowledges and understands that Participant may be exposed to certain risks that are inherent
in participation in the Activity. These risks may include but are not limited to such things as incidents related
to the above-mentioned activities, including sprains, broken bones, cuts, bruises, entrapment, temporary or
permanent disability, illness, personal injury, and/or death; adverse weather conditions; exposure to theft
and other criminal activity; allergic reactions to food and drink items; other physical, mental, and emotional
injury; other risks and dangers, whether known or unknown nor reasonably foreseeable. Participant
knowingly and voluntarily, accepts, and assumes responsibility for each of these risks and dangers, and all
other risks and dangers that could arise out of, or occur during, Participant’s engagement in the Activity.
Covenant Not to Sue: Participant agrees that it will not commence any legal action or lawsuit or otherwise
assert any legal claim against UVU and its officers, directors, employees, and agents seeking relief for any
claim, whether or not such claim is released or waived under this Agreement.
Indemnification: Participant agrees to indemnify and hold UVU and its trustees, officers, directors,
employees, and agents harmless from any and all claims, actions, suits, procedures, costs, expenses,
damages and liabilities, including attorney’s fees, arising out of Participant’s involvement in the Activity and
to reimburse UVU for any such expenses incurred.
Phone Number:________________________
Release of Claims: Participant releases and fully discharges UVU, including its trustees, officers, agents,
and employees, from any and all claims or causes of action that may be brought by Participant, or by any
other person (including but not limited to Participant’s estate, family, successors, heirs, representatives,
administrators, and/or assigns), including all liability for damage to personal property, personal injury or loss
arising out of or related to Participant’s engagement in the Activity to the fullest extent permitted by law.
Severability/Governing Law: Participant agrees that this Agreement is intended to be as broad and
inclusive as is permitted by the law of the State of Utah and that if any portion hereof is held invalid, it is
agreed that the balance shall, notwithstanding, continue in full legal force and effect. The Agreement shall
be governed by the laws of the State of Utah, without regard to conflicts of laws principles. Venue for any
lawsuits, claims, or other proceedings between the Parties relating to or arising under the Agreement shall
be exclusively in the State of Utah.
Health Insurance and Consent to Medical Treatment: Should Participant require emergency medical
treatment as a result of accident or illness arising during the Activity, Participant consents to such treatment.
Participant acknowledges that UVU will not provide health and accident insurance for Participant, and
Participant agrees to be financially responsible for any medical bills incurred as a result of emergency medical
Likeness Release: Participant authorizes UVU, acting through its agents, employees, or representatives, to
take photograph, video, and/or audio recordings of Participant, including Participant’s name, image, likeness,
performance, and/or voice (“Recordings”). Participant grants UVU an unlimited right to reproduce, use,
exhibit, display, perform, broadcast, create derivative works from, and distribute the Recordings in any
manner or media now existing or hereafter developed, in perpetuity, throughout the world. Participant agrees
that the Recordings may be used by UVU, including its assigns and transferees, for any purpose including
but not limited to marketing, advertising, publicity, or other promotional purposes. Participant agrees that
UVU will have final editorial authority over the use of the Recordings, and Participant waives any right to
inspect or approve of any future use of the Recordings. Participant acknowledges that Participant is not
expecting to receive compensation for participating in the Recordings or for any future use of the Recordings.
Participant releases and fully discharges UVU, and its employees, agents, and representatives, from any
claim, damages, or liability arising from or related to Participant’s inclusion in the Recordings or UVU’s future
use of the Recordings.
Acknowledgment: I understand the legal consequences of signing this document, including (a) releasing
UVU and its trustees, officers, directors, employees, and agents from all liability on my and the Participant’s
behalf, (b) promising not to sue, (c) and assuming all risks of participation in this Activity, including travel to,
from, and during the Activity. I understand that I am responsible for the obligations and acts of Participant as
described in this document. I agree to be bound by the terms of this document. I have read this two-page
document, and I am signing it freely and voluntarily.
Signature of Participant