Liability Waiver

Lyon College

Waiver and Release of Liability

This is a legally binding Waiver and Release of Liability made by me (hereinafter I or Participant), to Lyon College. This waiver is good for one year from date signed. This document applies to all events offered by Lyon College including, but not limited to, ropes course, bouldering wall, disc golf course, events in pool, the mountain bike and hiking trails, and all off campus events. By signing this document you are agreeing to participate in any one or all of these activities and you hereby agree to the following:

I acknowledge and understand that as part of my participating in Lyon College events there are dangers, hazards, and inherent risks to which I may be exposed, including the risk of serious physical injury, temporary or permanent disability, and death, as well as economic and property loss. The dangers, hazards and risks may arise from my own actions, inactions, or negligence as well as from the actions, inactions or negligence of others, or the condition of the premises. I also acknowledge and understand that there may be other dangers, hazards or risks not presently known or reasonably foreseeable. These outdoor activities are conducted in remote areas without easy access to emergency services. If I have medical problems, especially severe asthma, heart conditions, allergy to insect bites, and easily over-heated I should consult a physician before participating in this activity. I am aware that I am participating in a progressive physical activity. A first aid kit may be provided for the activity but does not contain any prescribed medications such as Epi-Pens, inhalers, and insulin. Therefore, it is my responsibility to provide all necessary medications and/or prescriptions and to inform the trip leader of these beforehand.

Entering a wilderness area requires special awareness of environmental protection. I will use leave no trace practices throughout the course of the trip.

In consideration of the right to participate in Lyon College events, I agree to assume all dangers, hazards and risks arising from my participation in the said events and I hereby forever release and covenant not-to-sue Lyon College, the Lyon College Board of Trustees, and any of its employees, instructors, volunteers, agents, and all others who are involved, from any and all present and future claims resulting from ordinary negligence on the part of the College or others listed for property damage, personal injury, wrongful death, or any other claim arising as a result of my engaging in or receiving instruction via any activity of Lyon College or any activities incidental thereto, wherever, whenever, or however the same may occur. I hereby voluntarily waive any and all claims both present and future, resulting from ordinary negligence, that may be made by me, my family, estate, heirs, estate or assigns, and I relinquish on behalf of myself, spouse, heirs and assigns the right to recover for any claims, including, but not limited to, injury or death.

I am voluntarily participating in events offered by Lyon College and hereby agree to accept any and all risks including, but not limited to, property damage, personal injury, or death.

I acknowledge that while Lyon College will make every reasonable effort to minimize exposure to known risks, all stresses and hazards associated with events cannot be foreseen. I have a personal responsibility to follow safety rules and procedures established by Lyon College and will make the appropriate College designee aware of any point in which I question my ability to participate in any event.

In the event of an accident or serious illness, I hereby authorize the College to obtain medical treatment for me and on my behalf. I hereby hold harmless and agree to indemnify Lyon College from any claims, causes of action, damages and/or liabilities arising out of or resulting from said medical treatment.

I further agree to indemnify and hold harmless Lyon College and others listed for any and all claims arising as a result of my participation in events offered by Lyon College whether they are on or off campus incidental thereto, wherever, whenever, or however the same may occur.

I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of the State of Arkansas, and I agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceedings shall be in the State of Arkansas.

I affirm that I am of legal age and am freely signing this agreement. I acknowledge that prior to signing this Waiver and Release of Liability, I have had an adequate opportunity to read it and any questions I had were directed to the designated trip leader or other official at Lyon and have been answered to my satisfaction. I fully understand that by signing this form, I am giving up legal rights and/or remedies which may be available to me for the ordinary negligence of Lyon College or any of the parties listed above.


__________________________________ June 25, 2022

(Signature of Participant) Date signed


First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

One or more problems exist. Please scroll up.

Powered by  Smartwaiver - TRY IT FREE!