Turkey Trot Release form
UNIVERSITY OF WISCONSIN SYSTEM UNIFORM STATEMENT OF RESPONSIBILITY, RELEASE, AND AUTHORIZATION TO PARTICIPATE IN The Stevens Point Community Turkey Trot


Whereas, I desire for myself and/or my child(ren)/ward(s) to participate in the Stevens Point Community Turkey Trot sponsored by the University of Wisconsin Stevens Point and Portage County Can Coalition, and the University has approved my Turkey Trot participation on November 24, 2016, I hereby agree as follows:

1) I assume full legal and financial responsibility for my/his/her participation in this Program;

2) I grant the University, its employees, agents and representatives the authority to act in any attempt to safeguard and preserve my/his/her health or safety during my participation in the Program including authorizing medical treatment on my behalf and at my expense and returning my/him/her home at my own expense for medical treatment or in case of an emergency;

3) Accident and health insurance are recommended for my/his/her participation in the Program. I understand that the University encourages me to have appropriate insurance coverage for the entire time of the Program;

4) I agree to conform to all applicable policies, rules, regulations and standards of conduct as established by the University;

5) I understand and agree that my/his/her participation in the Program may be terminated by the University with no refund of fees if I/he/she fails to maintain acceptable standards of conduct as established by the University and I accept responsibility for the costs of returning home if I/he/she is terminated under these circumstances;

6) I understand and agree that the University may make changes to the program at any time and for any reason, with or without notice, and that the University shall not be liable for any loss whatsoever to program participants as a result of such changes;

7) I voluntarily indemnify and hold harmless the University of Wisconsin Stevens Point, the Board of Regents of the University of Wisconsin System (Board of Regents), their respective officers, employees, and agents from any and all liability, loss, damages, costs, or expenses (including attorney fees) arising out of my/his/her participation in the Program and which do not arise out of the negligent acts or omissions of an officer, employee, or agent of the University and/or Board of Regents while acting within the scope of their employment or agency;

8) I acknowledge that I have read this document and understand and accept its terms.

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Electronic Signature of ALL Adult Participants in your party
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Electronic Signature of ALL Minor Participants in your party (N/A if none)
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