Event – Risk Waiver & Photo Release Form

I [name entered], desire to participate voluntarily in Sport & Recreation Event [event name and date entered] conducted, directed, supervised or sponsored by the Board of Regents of the University of Wisconsin System, operating as the University of Wisconsin–Milwaukee Zilber College of Public Health Sport & Recreation Department (hereinafter referred to as UWM), located at Enderis Hall, 2400 E Hartford Ave.

These activities will primarily occur on UW-Milwaukee campus.

I UNDERSTAND THAT I AM BEING ASKED TO READ EACH OF THE FOLLOWING PARAGRAPHS CAREFULLY. I UNDERSTAND THAT IF I WISH TO DISCUSS OR ALTER THE TERMS CONTAINED IN THIS AGREEMENT, I MAY CONTACT PROGRAM SUPERVISOR AT TELEPHONE NUMBER 414-227-3123 OR VIA EMAIL AT chsout@uwm.edu.

I understand that by participating in this Sport & Recreation Event [name of event entered above], by its very nature, carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries and/or illness. This includes activities untaken outside, which may involve uneven, slippery, or difficult terrain, as well as the sudden and unforeseen malfunctioning of any equipment. Some of these also involve strenuous exertions of strength using various muscle groups, some involve quick movement involving speed and change of direction, and others involve sustained physical activity, which places stress on the cardiovascular system. The specific risks vary from one activity to another, but in each activity the risks range from, but are not limited to: 1) minor injuries such as dizziness, nausea, fainting, dehydration, hyperextension, heat stroke, heat fatigue, scratches, scrapes, cuts, lacerations, bruises, contusions, strains and sprains to 2) major injuries such as fractures, broken bones, frostbite, internal organ injuries, musculoskeletal injuries, eye injuries, back injuries, heart attacks, cardiac arrest, concussions to 3) catastrophic injuries including paralysis and death, and 4) illnesses; such as the seasonal flu and coronavirus. I understand that UWM has advised me to seek the advice of my physician before participating in this activity. I understand that I have been advised to have health and accident insurance in effect and that no such coverage is provided for me by UWM.

I KNOW, UNDERSTAND, AND APPRECIATE THE RISKS THAT ARE INHERENT IN THE ABOVE-LISTED Sport & Recreation Event [name of event entered above] ACTIVITIES. I HEREBY ASSERT THAT MY PARTICIPATION IS VOLUNTARY AND THAT I KNOWINGLY ASSUME ALL SUCH RISKS.

In consideration of UWM permission for me to voluntarily participate in the Sport & Recreation Event [name of event entered above], today and on all future dates, I, for myself, my heirs, personal representatives or assigns, agree to defend, hold harmless, indemnify and release UWM, and their officers, employees, agents, and volunteers, from and against any and all claims, demands, actions, or causes of action of any sort on account of damage to personal property, or personal injury, or death which may result from my participation in the the Sport & Recreation Class [name of class entered above]. This release includes claims based on the negligence of UWM, and their officers, employees, agents, and volunteers, but expressly does not include claims based on their intentional misconduct or gross negligence.

I UNDERSTAND THAT BY AGREEING TO THIS CLAUSE I AM RELEASING CLAIMS AND GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO SUE.

I understand that the University of Wisconsin-Milwaukee (“UWM”) may take photographs, video, audiotape and other image and sound-based media of its employees, students, and third parties (collectively, the “Images”). UWM and the Sport & Recreation Program may wish to use such Images, as well as use statements made by such individuals, for educational, promotional, advertising, and other purposes, including, but not limited to printed publications and on its website.

Therefore, I hereby freely and voluntarily consent to the use and publication of my name, participation, picture, likeness, and/or statements by UWM and/or its employees and/or agents for any and all purposes including, but not limited to, educational, promotional, advertising, and trade, through any medium or format as technology may now or in the future allow, including, but not limited to, videotape, audiotape, webcasting, podcasting, film, photograph, television, radio, digital, internet, theater, or exhibition, at any time from this date forward. I further waive any claims against UWM and/or its employees and/or agents based upon or related to its use or publication of my likeness, voice, participation, picture, and/or statements.

I freely give this authorization without expectation of compensation.