Park City Sailing Participation Waiver

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Park City Sailing Participation Waiver 2015-04-02T13:51:27+00:00

Park City Sailing Participation Waiver

  • Participant Info

  • Emergency Contact

  • Liability Waiver, Medical Treatment & Photo Releases

  • WAIVER & RELEASE:

    This is a Waiver and Release for participation in a Utah Division of State Parks and Recreation independent event/program operated by the Park City Sailing Association occurring in or about a Utah State Park.

    Injury may result from participation in this event/program. Additionally, property damage or loss may occur. You are expected to familiarize yourself with the rules of conduct for the event/program as well as Utah Division of State Parks and Recreation policies. You are expected to follow proper operating procedures including safety procedures, plus any directions given by an authorized park or event/program coordinator employee.

    The undersigned participant or parent, custodial parent or guardian of participant, being at least eighteen years of age, and in consideration of participation in a Park City Sailing Association event/program occurring in or about a Utah State Park (hereinafter “event/program”), does hereby agree to this waiver and release.

    I do hereby agree to assume all risks which may be associated with or may result from, participation in this event/program, including but not limited to the actual course of activities or while using the facility, parking lots, transportation or access to State Park’s facilities and recreation sites. I acknowledge that this particular event/program, while conducted on State Park land or facilities, is not under the supervision, regulation or control of Utah Division of State Parks and I cannot rely on the Utah Division of State Parks and Recreation to exercise any supervision, regulation or control of the event/program.

    I recognize that participation in the event/program may involve moderate to strenuous physical activity and may cause physical and or emotional distress to participants. There may also be associated health risks. I state that participant is free from any known heart, respiratory or other health problems that could prevent them from safely participating in any of the activities.

    I certify that participant has medical insurance or otherwise agree to be personally responsible for costs of any emergency or other medical care that participant receives. I agree to release the Park City Sailing Association, State of Utah, Utah Division of State Parks and Recreation and all their agencies, departments, officers, employees, agents and all sponsors, officials and staff or volunteers from the cost of any medical care that participant receives as a result of participation in the event/program.

    I further agree to release the Park City Sailing Association, the State of Utah, the Utah Division of State Parks and Recreation and all of their agencies, departments, officers, employees, agents and all sponsors, officials and staff or volunteers from any and all liability, claims, demands, breach of warranty, negligence, actions, and causes of actions whatsoever for any loss, claim, damage, injury, illness, attorney’s fees or harm of any kind or nature arising out of participation in the event/program. This release extends to any claim made by participant’s family, estate, heirs, or assigns arising from or in any way connected with the aforementioned activities.

    CONSENT FOR MEDICAL TREATMENT:

    I give permission to transport participant to the nearest source of emergency care, in order that necessary medical treatment not be delayed.

    Consent is expressly given, in the event of injury, for any emergency aid, anesthesia and/or operation, if in the opinion of the attending physician, such treatment is necessary.

    I have carefully read and understand the contents of the foregoing language and I specifically intend it to cover participation in the event/program.

    PHOTO RELEASE:

    I hereby grant the Park City Sailing Association (PCSA) permission to use my likeness in photograph(s)/video in any and all of its publications and in any and all other media, whether now known or hereafter existing, controlled by the PCSA, in perpetuity, and for other use by the PCSA. I will make no monetary or other claim against the PCSA for the use of the photograph(s)/video.

  • NOTE: Parent or Guardian signature required if participant is younger than 18 years old.
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