Technological University students, conducts activities which involve certain risks or
injury and that regardless of the precautions taken by Blue Key Honor Society or others,
some bodily injuries may occur. As a participant, I agree to conduct myself in a
responsible manner and to act safely at all times.
I certify that I have adequate insurance to cover any injury or damage I may cause or
suffer while participating, or else I agree to bear the costs of such injury or damage
myself. I further certify that I am willing to assume the risk of any medical or physical
condition I may have or may suffer while participating.
I affirm that I am in good health, have the physical ability and capacity to participate in,
and have the skills and the knowledge to safely use all equipment for activities. I also
understand that protective gear must be worn to participate in activities to help limit the
possibility of injury but acknowledge that even with such equipment injury is still possible.
I understand and assume all risk. I understand there are inherent risks that cannot be
eliminated in the activities of Winter Carnival. I affirm that I have sufficient knowledge
of the risks involved in activities and understand that there are risks not specifically
identified which are a part of the activities. I am aware of these risks and I agree to
follow all safety instructions and to ask questions if I do not understand. I also
acknowledge that, despite careful precautions, there are certain inherent risks of injury in
activities which each participant must assume if he or she desires to participate.
Therefore, I assume and accept all risks of and full responsibility for bodily injury, death,
loss of personal property and any expenses which may be suffered by me resulting from
any identified or unidentified dangers and risks associated with my participation in
I release all claims. I do hereby fully and forever release and discharge, and agree to
indemnify and hold harmless Blue Key Honor Society at Michigan Technological
University, its representatives, and officers, and Michigan Technological University, its
Board of Control, employees and agents from any and all claims, demands, damages, or
causes of action, present or future, whether the same be known or unknown, anticipated
or unanticipated, for bodily injury, death or property damage resulting from or arising out
of or in connection with my participation in the activities of Winter Carnival.
I understand that Blue Key Honor Society or the property owner may need to respond to
accidents and potential emergency situations. Therefore, I hereby give my consent for
any emergency medical treatment that may be required during my participation in
activities of Winter Carnival with the understanding that the cost of any such treatment
will be my responsibility. I am fully aware that I am not covered under any accident
and/or health insurance plan of Michigan Technological University.
I agree that I am responsible for transportation to and from any and all Winter Carnival
events. I further agree that I am responsible for the entire party in the vehicle, and Blue
Key Honor Society and/or Michigan Tech cannot be held responsible for any injuries or
death resulting from an accident in transit.
I affirm that I have read, and fully understand the Winter Carnival Rulebook and all safety
standards. I further agree to abide by these rules at all times when participating in Winter
Carnival, whether there is a Blue Key Honor Society representative present or not.
I agree to comply with all University rules and regulations including but not limited to
those set forth in the Housing & Residential Life policies and procedures and the
University's Code of Community Conduct.
I grant full permission for Blue Key Honor Society and the University to use personal
information such as name and email/user ID in association with group registration,
roster(s), and statistics to be posted on website and to use any photographs, videotapes or
any other record of season participation for any purpose.