AGREEMENT FOR PARTICIPATION IN UNIVERSITY OF ALASKA ACTIVITY

ACKNOWLEDGEMENT AND ASSUMPTION OF RISK, AGREEMENT TO RELEASE ALL

CLAIMS AND AGREEMENT TO INDEMNIFY THE UNIVERSITY OF ALASKA

I wish to participate in Black Light/Neon Dodgeball at the UAS Recreation Center. If Minor I understand I just be a University of Alaska Southeast student and have Parent/guardian approval (see below).

PLEASE READ CAREFULLY & SIGN BELOW (Required for participation)

1. Inherent Risks - I understand and acknowledge that there are known, unknown, and unanticipated risks and dangers that are qualities of these activities that cannot be eliminated. These are often called inherent risks and will be referred to this way in this document. Some of the activities that I may be participating in:
   Black Light/Neon Dodgeball is a vigorous physical team activity that takes place in an indoor basketball court with limited light including ultraviolet light. The court is illuminated with LED rope lights and glow in the dark tape. Strobe lights, fog and music create a fun chaotic experience as the players try to hit each other with the foam dodge balls. Players will be making abrupt movements to dodge flying balls and fake out the opposing players and quickly throw balls. Risks include being hit by a ball, running into others or obstructions, twisted ankles and knees, possible head, back and shoulder injuries.
2. Possible Harms - I understand that these inherent risks can result in harms, which in this document means damage to property or permanent or temporary physical, emotional, and mental injury to or death or disability.
3. Investigate Risks - I agree that it is my responsibility to understand the risks in my participation in this activity. It is my responsibility to investigate the risks if I do not fully understand these risks.
4. Assumption of Risk - After considering the inherent risks and harms that may result, I voluntarily assume all inherent risks that I may encounter during participation in or transportation to, from or as a part of this activity, and I agree to be financially responsible for any harms that result.
5. Negligence - I also recognize that while the University will not knowingly or intentionally cause or permit harms to occur, the same or similar harms such as those mentioned in paragraph 2 may be caused by the negligence or fault of University of Alaska employees, its agents or volunteers or by fellow participants.
6. Release - I further agree to release the University of Alaska, its Board of Regents, officers, agents, and employees (hereafter University), from all liability and claims of any kind, for any harms to me arising from the negligence of University of Alaska employees, its agents or volunteers, or of fellow participants. This includes claims for loss, expense, damages, punitive damages or attorney fees, or loss of companionship or support of family.
7. Indemnity and Hold Harmless - I agree to indemnify and hold the University harmless if I or anyone else brings claims against the University to recover damages of any kind for harms to me arising from the negligence of University of Alaska employees, volunteers or of fellow participants, or from our participation in, or transportation to, from or as a part of this activity. This means that I will be responsible for attorney fees and expenses incurred by the University in its defense of claims and any damages awarded against the University.
8. Other Providers - I understand that my assumption of risk, release and indemnification of the University apply regardless of whether this activity is operated, sponsored, or hosted in whole or in part by the University of Alaska or a third party.
9. Accommodations - I certify that I am in good health and I know of no medical reason why I am not able to participate. If I have a disability, food or drug allergy, dietary requirements or any other condition requiring accommodation, I will contact the activity director at least fourteen (14) days prior to the start of the activity.
10. Consent to Care - I consent to first aid, emergency medical care, and if necessary admission to a hospital for care and treatment for injuries or illness anytime during this activity.
11. Financial Responsibility - I understand that I am responsible for obtaining insurance and for any expenses that arise out of medical care. Upon my request and at my expense accident insurance may be available to me through the University.
12. Compliance with Rules - I agree that I will abide by all University policies, regulations, and procedures and by all local, state and federal laws. If I fail to abide by these rules and laws, that may be a basis for denying or ending my participation in this activity.
13. Others Affected - I intend that this Agreement is and will be binding on my family, estate, heirs, successors, assigns, insurers, medical providers and personal representatives.

By my digital signature, I agree and represent that: I have entered into this Agreement on the basis of my own assessment of the risks involved and not in reliance upon representations of the University, its employees, officers or agents; I understand that I have the right to consult an attorney of my choice before signing this Agreement; I further understand that this Agreement contains our entire agreement, and that it cannot be modified except in a writing signed by me and the University; Alaska law applies to this Agreement and any dispute will be resolved in the state court located in Fairbanks, Alaska; If any part of this Agreement is found to be invalid or unenforceable for any reasons, the balance of the Agreement remains valid and enforceable; This a legally binding agreement designed to protect the University from claims that could be brought by myself or anyone else because of harms to me.