WAIVER
Copyright (C) 2011 Harrisburg Section, Created by Christopher Levan
WAIVER
ACCIDENT WAIVER AND RELEASE OF LIABILITY WAIVER
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND/OR VOLUNTEERING IN THIS
ACTIVITY OR EVENT, including by way of example and not limitation, any risks that may arise from negligence
or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or
property owned, maintained, or controlled by them, or because of their possible liability without fault.
I certify that I am physically fit and have not been advised to not participate by a qualified medical professional. I certify that
there are no health-related reasons or problems which preclude my participation in this activity or event.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors,
and organizers of the activity or event in which I may participate, and that it will govern my actions and
responsibilities at said activity or event.
In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my
executors, administrators, heirs, next of kin, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability
arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury,
property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling
to and from this event, THE FOLLOWING ENTITIES OR PERSONS: The Illuminating Engineering Society
(IES), The Pennsylvania State University (PSU), or any of the Nittany Lights sponsor companies and/or their
directors, officers, employees, volunteers, representatives, and agents, the activity or event holders, activity or
event sponsors, activity or event volunteers;
(B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this
paragraph from any and all liabilities or claims made as a result of participation in this activity or event, whether
caused by the negligence of release or otherwise.
I acknowledge that this activity or event may involve risks associated with event. The risks may include, but are not limited
to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, actions of
other people including, but not limited to, participants, volunteers, spectators, event officials, and event
monitors, and/or sponsors of the event. These risks are not only inherent to participants, but are also present for volunteers.
I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video, or film
likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, and assigns.
The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the
maximum extent permissible under applicable law.
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND/OR VOLUNTEERING IN THIS
ACTIVITY OR EVENT, including by way of example and not limitation, any risks that may arise from negligence
or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or
property owned, maintained, or controlled by them, or because of their possible liability without fault.
I certify that I am physically fit and have not been advised to not participate by a qualified medical professional. I certify that
there are no health-related reasons or problems which preclude my participation in this activity or event.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors,
and organizers of the activity or event in which I may participate, and that it will govern my actions and
responsibilities at said activity or event.
In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my
executors, administrators, heirs, next of kin, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability
arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury,
property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling
to and from this event, THE FOLLOWING ENTITIES OR PERSONS: The Illuminating Engineering Society
(IES), The Pennsylvania State University (PSU), or any of the Nittany Lights sponsor companies and/or their
directors, officers, employees, volunteers, representatives, and agents, the activity or event holders, activity or
event sponsors, activity or event volunteers;
(B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this
paragraph from any and all liabilities or claims made as a result of participation in this activity or event, whether
caused by the negligence of release or otherwise.
I acknowledge that this activity or event may involve risks associated with event. The risks may include, but are not limited
to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, actions of
other people including, but not limited to, participants, volunteers, spectators, event officials, and event
monitors, and/or sponsors of the event. These risks are not only inherent to participants, but are also present for volunteers.
I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video, or film
likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, and assigns.
The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the
maximum extent permissible under applicable law.
Download a copy of the waiver...
