1. Representation of health. 

I hereby acknowledge, agree, and represent that I understand the nature of the Covered Program and that I am in good health and in proper physical, mental, and emotional condition to participate in the Covered Program. If, at any time, I believe the conditions of my participation to be unsafe, I will immediately discontinue further involvement or participation in the Covered Program. I further acknowledge, agree, and represent that in connection with my participation in the Covered Program: (a) I will be covered by a private medical and liability insurance policy, (b) I am not employed by the University of Hawai‘i, and (c) the University of Hawai‘i will not be responsible for or required to indemnify or defend me with respect to any illness, personal or bodily injury, death, economic and property damage, severe emotional loss, and any other loss, damage, or injury (collectively the “Injuries/Damages”) that I may sustain or suffer arising out of or in connection with my involvement or participation in the Covered Program. 

2. Assumption of risk. 

I understand and acknowledge the dangers and risks involved in my involvement or participation in the Covered Program which include the “Injuries/Damages”. These Injuries/Damages may be caused by my own actions or inactions, the action or inactions of others involving or participating in the Covered Program, and the conditions in which the Covered Program takes place. I acknowledge that there may be other Injuries/Damages either not known to me or not readily foreseeable at this time. I hereby fully accept and assume all risks of the Injuries/Damages resulting from my involvement or participation in the Covered Program. I have read and understood all written materials setting forth the requirements for my participation and I will strictly observe, follow, and comply with all verbal and written instructions, and I will seek clarification and further explanation if I do not understand any of the written materials or verbal instructions. 

3. Waiver and release. 

On behalf of myself and my heirs, personal representatives and assigns, I hereby waive, release, and discharge any and all claims, demands, actions, rights, and causes of action on account of any loss, including damage to personal property, personal or bodily injuries, and death, related to, arising from connected with or traceable either directly or indirectly to my involvement or participation in the Covered Program (collectively the “Released Claims”). 

4. Indemnify, defend, and hold harmless. 

I hereby accept full responsibility for my participation in the Covered Program and I agree to indemnify, defend, and hold harmless the University of Hawai‘i, and its past, present and future Board of Regents, officers, employees, agents, and assigns from any and all Released Claims and any and all demands, actions, judgments, injunctions, orders, rulings, directives, penalties, assessments, liens, liabilities, losses, damages, costs, and expenses (including reasonable attorneys’ fees and costs), arising or resulting from or caused by any of my acts or omissions (or by any person whom I am responsible) during, involving, or related to my participation in the Covered Program. 

5. Photo, Video and Sound Recording Release and Consent. 

I authorize the University of Hawai‘i and its officers, agents, employees, successors, licensees, and assigns to take and use photographs, video, and sound recordings of and/or live stream my participation in the Covered Program, and to use my name, image, likeness, appearance, and voice (collectively the “Recordings”): (a) for any legitimate purpose, including any educational, institutional, scientific, fundraising or informational purposes whatsoever, (b) in perpetuity, (c) on a worldwide basis, (d) without compensation to me, (e) in any manner or media, including use on social media sites and web pages accessible to the general public, and (f) alone or in combination with other Recordings. All right, title, and interest in the Recordings belong solely to the University of Hawai‘i. I understand the Covered Program may attract media coverage or be recorded, in whole or in part, for rebroadcast or retransmission, and consent to my inclusion in such media coverage, which may appear in print media, live or replay telecast or broadcast, podcast, and/or through social media and internet postings. I have read this Consent, Waiver, Release, and Indemnity (“Agreement”) and I understand that I am giving up substantial rights, including the right to sue. I acknowledge that I am participating in the Covered Program freely and voluntarily. I agree that:(a) this Agreement shall be interpreted and enforced in accordance with the laws of the State of Hawai‘i and (b) if any portion of the Agreement is deemed or held invalid, the remainder of the Agreement shall continue in full force and effect.

Media Release Form
KNOW ALL PERSONS BY THESE PRESENTS:
That I, for myself and for my respective heirs, executors, administrators and assigns (collectively the “Releasing Parties”), do hereby give full right and permission to use my likeness, image, photograph(s), voice and/or name(collectively the “Image Rights”), and to grant permission to others to use my Image Rights, and do hereby release, acquit and forever discharge the University of Hawai‘i, its officers, employees, agents, representatives, successors and assigns (collectively the “University”),and anyone receiving permission from the aforesaid (collectively the “Released Parties”), from any and all claims, actions, causes of action and liabilities, of whatsoever kind or nature, arising out of any use of my Image Rights for advertising, publicity, trade or any other lawful purpose, in any media now known or hereafter developed or invented, in perpetuity, on a worldwide basis, and without compensation tome or the Releasing Parties. I, for myself and for the Releasing Parties, hereby waive any right I or the Releasing Parties may have to inspect and approve the finished product or such written or spoken copy that may be used in connection therewith, or the use to which it may be applied.I, for myself and for the Releasing Parties, voluntarily assume any and all risks, known or unknown, associated with my participation in the , herewith known as “Project” and actions and undertakings in connection with the Project (collectively “my Participation”). 

I acknowledge that my Participation may present certain risks to me, and I hereby assume any and all risks associated therewith, including, without limitation, the risk of physical or mental or emotional injury, minor and/or severe bodily harm, and/or illness, which arise by any means, including, without limitation:acts, omissions, recommendations or advice given by the University or other persons or entities affiliated with the Project; participation in inherently dangerous activities, latent or apparent defects or conditions in any equipment used in the Project; weather or other natural conditions; human error; my physical and mental condition; my own acts or omissions; first-aid, emergency treatment or other services rendered to me or others. Notwithstanding the foregoing, I hereby agree to voluntarily accept and assume any and all such risks as well as any risks not mentioned herein that are in any way associated with my Participation in the Project, the issuance or use of my Image Rights, or use of any photographs, video, and sound recordings of and/or live stream of my Participation in the Project (collectively the “Footage”)and the subsequent or simultaneous exhibition or other dissemination of the Footage and/or any portion thereof in perpetuity throughout the universe in any and all media, whether now known or hereafter developed or invented (collectively “Exhibition”).

I, for myself and for the other Releasing Parties, hereby voluntarily and knowingly, release, discharge and relinquish any and all claims, actions and lawsuits of any kind against the Released Parties related to or arising from my Participation in the Project, the issuance or use of my Image Rights, and/or the use of any Footage, including, without limitation, travel to and from any location used in connection with the Project, the making, recording, production, use, editing, distribution, licensing, promoting, and/or Exhibition of the Footage, and/or any portion thereof, including, without limitation, any claims, actions or lawsuits for wrongful death, negligence and/or other fault, either active or passive, personal injury, wrongful death, defamation, false light, violation of right of publicity, invasion of privacy, disclosure of embarrassing private facts, fraud, breach of contract, infringement of copyright, and negligent or intentional infliction of emotional distress.