Please review the waiver language and fill out the form below:
Center City Slam Event Waiver
Event Date: Saturday, February 10, 2024
Event Location: Drexel University Recreation Center, 3301 Market Street,
Philadelphia, PA 19104
Please read and review Part 1 and Part 2 of
the waiver. Participant must be 18 years or older to sign this waiver. If
participant is under 18 years of age, a parent or legal guardian must sign on
their behalf.
Part 1: Center City Slam Event at Drexel
University Facilities
Drexel University and its trustees, officers, employees,
volunteers, students, and participating organizations, agents and assigns are
collectively referred to herein as “Drexel”.
I understand that this Program is completely voluntary, and I
freely choose to participate in this Program. I understand that Program
activities will include, but are not limited to,
·
INDOOR ROWING
ACTIVITIES AND OTHER ATHLETIC ACTIVITIES.
I understand that participation in the Program exposes me to
risks, including, but not limited to,
·
temporary or permanent
muscle soreness, tendinitis, sprains, strains, cuts, abrasions, bruises,
ligament and/or cartilage damage, head, neck or spinal injuries, loss of arms
and/or legs, eye damage, gastrointestinal issues, disfigurement or even death.
CONSENT TO PARTICIPATE
I recognize that there are both foreseeable and unforeseeable
risks of injury or death that may occur as a result of my participation in the
Program that cannot be specifically listed. I acknowledge that I am responsible
for making sure that my health is adequate to participate in the activities
involved in the Program.
I agree that participating in any activity is an acceptance of
some risk of injury. I agree that my safety is primarily dependent upon my
taking proper care of myself. I understand that it is my responsibility to know
what I will need for the Program and to provide what I will need. I agree that
I must have my own health insurance and that I am responsible for the cost of
any medical treatment required during the Program. I agree to fully comply with
applicable laws, policies, rules, regulations, Drexel’s Student Code of
Conduct, and any supervisor’s instructions or posted warnings regarding
participation in this Program. I agree to stop and seek assistance if I do not
believe I can safely participate or continue in any activity. I agree to wear
or use proper protection or gear as dictated by the activity. I will not wear
or use or do any thing that would pose a hazard to myself or others,
including using or ingesting any substance which could pose a hazard to me or
others. I agree that if I do not act in accordance with this agreement I may
not be permitted to continue to participate in the Program.
I understand that Drexel is not an agent of, and has no
responsibility for, any third party including without limitation any entity
which may provide any services including food, lodging, travel, or any
equipment associated with the Program.
Despite precautions, accidents and injuries can occur. I
understand that travel and other activities connected with the Program may be
potentially dangerous and that I may be injured and/or lose or damage personal
property, or suffer financial loss, as a result of participation in the
Program. Therefore, for myself, I ASSUME ALL RISKS RELATED TO THE
ACTIVITIES, including, but not limited to:
·
Death, injury or
illness from accidents of any nature whatsoever, including but not limited to
bodily injury of any nature whether severe or not which may occur as a
result of or arising from: participating in an activity or contact with persons
or physical surroundings, including animals, insects or plants; travel by
air, car, bus, subway or any other means; illness including food poisoning
arising from the provision of food or beverage by restaurants or other service
providers.
·
Loss or injury as a
result of a crime or criminal act, terrorism, war, civil unrest, riot,
detention by a foreign government, arrest or other act of any government or
authority including, without limitation, any loss resulting from the
cancellation or delay of the Program.
·
Exposure to chemicals,
hazardous materials or other potentially harmful substances or animals in
research facilities or laboratories.
·
Exposure to and
illness from infectious diseases including, but not limited to, COVID-19, that
is known to mainly spread from person-to-person through respiratory droplets
when people cough, sneeze, or talk, and for which physical exertion and heavy
breathing may lead to respiratory droplets being propelled longer distances. I
understand the risks of COVID-19.
·
Theft or loss of my
personal property during the Program.
·
Loss or injury as a
result of natural disasters or other disturbances.
·
For residential
programs only: Meningococcal disease is a rare, but potentially fatal,
bacterial infection, and research has shown that persons residing in
dormitories appear to be at higher risk for the disease. A meningococcal
vaccine is available that provides protection against the most common strains
of the disease. I understand the risks of meningococcal disease as well as the
benefits of immunization. I also understand that there may be participants in
the Program that have not been immunized.
I further acknowledge that the above list is not inclusive of
all possible risks associated with the Program and that I am aware of the risks
involved whether described or not. I further understand that participating in
the Program is an acceptance of risk of injury, death, or financial loss.
PERSONAL PROTECTIVE EQUIPMENT- COVID-19
I acknowledge that I may be required to wear certain Personal
Protective Equipment (“PPE”), including face masks, pursuant to Drexel’s
policies, rules, and regulations. I understand that the use of PPE does not
remove all risks of illness. I alone must determine the sufficiency of any PPE
or other precautions that I decide to take to minimize the risks of
participating in the Program. I expressly acknowledge that my choice of PPE is
at my discretion and that Drexel has no liability for my choice of PPE or for
PPE provided by Drexel, if any. I further understand that Drexel cannot control
or eliminate all risks associated with COVID-19, and it is my voluntary choice
to participate in the Program.
MEDICAL TREATMENT AUTHORIZATION
I authorize and give my consent to Drexel to act on my behalf,
or on behalf of my child (who is under 18), in any medical emergency,
including, if necessary, emergency medical treatment and admission to an
accredited hospital or emergency care center. I understand and acknowledge that
Drexel does not provide health and accident insurance for the Program
participants, and I agree to be financially responsible for any medical bills
incurred as a result of medical treatment rendered to me (or to my child).
PHOTO RELEASE
I grant permission for me/my child to be photographed and/or
recorded on audio tape, video tape or film, while participating in the
Program, and for such photograph(s), recording(s), tape(s) and/or film(s)
to be used for promotional and educational purposes of Drexel University.
RELEASE OF LIABILITY
In consideration of Drexel providing me the opportunity to
participate in this Program, I voluntarily remise, release and forever
discharge Drexel, Center City Slam, LLC and Concept2 Inc., and their respective
affiliated entities, successors, assigns, trustees, officers, students,
employees and agents from any and all personal injuries, damages, losses,
claims, causes of action, or lawsuits of any kind (a “Loss”) whatsoever arising
out of or in any way relating to my participation in the Program, including,
without limitation, a Loss resulting in whole or in part from the negligence of
Drexel or its affiliated entities, trustees, officers, agents, faculty, staff
or students.
My signature below indicates that I have read, understood, and
freely signed this document. I understand that I have given up important rights
by signing this document. This document is made in sole consideration of my
participation in the Program and my use of facilities, equipment, or
services associated with the Program. This document shall be construed and
enforced in accordance with the laws of the Commonwealth of Pennsylvania,
and I consent to the jurisdiction of said state.
(If participant is under 18 years of age, a parent or legal
guardian MUST sign this document - see below)
PARENTAL CONSENT (must be signed if Participant is under 18
years of age)
I am the parent or legal guardian of the individual identified
at the beginning of this document who will participate in the Program. I
acknowledge that my child is attending the Program voluntarily with my
permission and that I have read, understand and accept the rules and
standard(s) of conduct for the Program. I have reviewed the information
provided relating to potential risks involved in the activities and Program. By
my signature below, I assume all risks on behalf of my child related to
the activities and the Program. I have had an opportunity to ask questions
about this document. I understand that I have given up important rights for
myself and for my child by signing it. This document is made in sole
consideration of Drexel providing the opportunity for my child to participate
in the Program and my child’s use of facilities, equipment or services
associated with the Program.
Part 2: Center City Slam, LLC Liability Waiver
Please read the information completely. You must sign this
waiver to be eligible to participate in Center City Slam. Event to take place
on February 10, 2024 at Drexel University Recreation Center, 3301 Market
Street, Philadelphia, PA 19104
In Consideration of being given the opportunity to participate
in Center City Slam, I, for myself, my personal representatives, assigns,
heirs, and next of kin:
1. ACKNOWLEDGE, agree and represent that I understand the nature
of Indoor Rowing Activities and that qualified, I am in good health, and in
proper physical condition to participate in such Activity.
2. FULLY UNDERSTANDING that:
(a) INDOOR ROWING ACTIVITIES INVOLVE RISKS AND DANGERS of
serious bodily injury, including permanent disability, paralysis, and
death ("Risks");
(b) these Risks and dangers may be caused by my own actions. or
inaction, the actions or inaction of others participating in the Activity, the
condition in which the Activity takes place, or the negligence of the Releasees
named below; (c) there may be other risks and social and economic losses either
known to me or not readily foreseeable at this time; and I FULLY ACCEPT
ALL SUCH RISKS AND ALL RESPONSIBILITIES FOR LOSSES, COSTS, AND DAMAGES Incur as
a result of my participation in the Activity.
3. AGREE AND WARRANT that I will examine and inspect each
Activity in which I take part and that if I observe any condition which I
consider to be unacceptably hazardous or dangerous, I will notify the proper
authority in charge of the Activity and will refuse to take part in the
Activity until the condition has been corrected to my satisfaction.
4. HEREBY RELEASE, discharge, and covenant not to sue Drexel
University, Center City Slam, LLC., Concept2 Inc., team coaches, directors,
agents, officers, volunteers and employees (each considered one of the
Releasees herein) from all liability, claims, demands, losses or damages on my
account caused or alleged to be caused in whole or in part by the negligence of
the Releasees or otherwise, including negligent rescue operations; and I
further agree that if despite this release and waiver of liability, assumption
of risk, and indemnity agreement, I, or anyone on my behalf, makes claim
against any of the Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of
the Releasees from any litigation expenses, attorney fees, loss, liability,
damage, or cost which any may incur as a result of such claim. I have
read this agreement, fully understand its terms, understand that I have given
substantial rights by signing it and have signed it freely and without
inducement or assurance of any nature and I intend it to be complete and
unconditional release of all liability to the greatest extent allowed by law
and agree that if any portion of this agreement is held to be invalid, the
balance, notwithstanding, shall continue in full force and effect.
Parental Consent: (must be signed by Parent or Legal Guardian if
Participant is under 18 years of age)
AND, I, the minor's parent and/or legal guardian, understand the
nature of indoor rowing activities and the minor's experience and believe the
minor to be qualified to participate in such activity. I hereby release,
discharge, covenant not to sue, and AGREE TO INDEMNIFY AND SAVE AND HOLD
HARMLESS each of Releasees from all liability, claims, demands, losses,
or damages on the minor's account caused or alleged to be caused in whole or in
part by the negligence of the Releasees or otherwise, including negligent
rescue operations, and further agree that if, despite this release, I, the
minor, or anyone on the minor's behalf makes a claim against any of the above
Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS each of the Releasees from
any litigation expenses attorney fees, loss liability, damage, or cost any may
incur as a result of any such claim.