Drake Relays Informed Consent for all Volunteers
In consideration for the opportunity of the following-named minor _________________ (the Minor) or myself to volunteer at the Drake Relays on April 24-26, 2014 (the “Event”), I individually, and on behalf of my heirs, successors, assigns and personal representatives, hereby release, discharge and agree to indemnify and hold harmless Drake University and their employees, agents, volunteers, affiliated companies, elected officials, officers, trustees, and representatives from any and all liability whatsoever (including all liability arising directly or indirectly from the negligence of Drake University or any of their employees, agents volunteers, affiliated companies, elected officials, officers, trustees, or representatives) for any and all damages, losses (including loss of consortium) or injuries (including death) I or the Minor sustain to our persons or property or both, including, but not limited to, any claims, demands, actions, causes of action, judgments, damages, expenses and costs, including attorneys’ fees, which arise out of, result from, occur during or are in any way connected, directly or indirectly, with the my or the Minor’s participation in the Event or any travel incident thereto.
I recognize and acknowledge that Drake University does not carry health or hospital insurance that would provide insurance coverage for me or my son/daughter/ward in the event I or he/she should sustain an injury while participating in the Drake Relays or associated activities.
I also hereby authorize any medical treatment, including the administration of anesthesia, deemed advisable by any licensed physician to relieve any injuries or illness suffered by the Minor while a participant at the Event.
I hereby certify that I have read this Release and Indemnification Agreement and that I understand and voluntarily agree to its terms and conditions.
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