Loading...

UINTAH COUNTY BUCKSKIN HILLS
RECREATION  AREA
RELEASE OF LIABLITY, ACKNOWLEDGMENT OF RISKS, AND CONSENT AGREEMENT

For and in consideration of the right to use and/or participate in any activity in any capacity at Uintah County Buckskin Hills  Recreation Area and related facilities (referred to as “Uintah County”), I expressly agree, in addition to paying any fees due for any such activity(ies), to ASSUME ANY and ALL risks of injury, including the risk of serious injury and even DEATH, regardless of the cause of injury, the activity, or the date or time on which the injury allegedly sustained at the Buckskin Hills Recreation Area. This waiver is to be interpreted as broadly as allowed under Title 63G Chapter 7 Governmental Immunity Act of Utah and Title 78B Chapter 4 Limitations on Liability.

I acknowledge and understand that obeying and following safety rules and/or instruction does not guarantee my safety. Uintah County is NOT in any manner an insurer of my safety. I further agree to FOREVER RELEASE Uintah County and its affiliates, related entities, employees, officers, directors, officials, volunteers, and agents (collectively “Uintah County”) from ANY and ALL LIABLITY, and to FOREVER WAIVEANY and ALL claims, causes of action, charges, damages, and demands of any kind whatsoever, including for injuries I sustain as a result of UINTAH COUNTY’S NEGLIGENCE and/gross negligence

I also expressly agree to accept “AS IS” with “WITH ALL FAULTS” any equipment and/or anything else that I use at Buckskin Hills Recreation Area and further understand and acknowledge that Uintah County provides NO implied warranty of merchantability and/or fitness or any other warranties of any kind whatsoever and further agree that any activity I participate in at Buckskin Hills Recreation Area concerns services being rendered only. 

I hereby consent to allow Uintah County to administer first aid and other emergency medical treatment to me for any injury or illness that occurs while at Buckskin Hills Recreation Area. I understand that Uintah County has no duty to provide first aid or other medical treatment. 

I also grant to Uintah County and its assigns the right to use, reproduce, display, distribute and make derivative works, in any and all media furnished by me to the Buckskin Hills and/or of my voice, image and/or likeness recorded while doing anything at Buckskin Hills Recreation Area.

I have read and understand this Agreement and voluntarily enter into it without any reservation whatsoever and agree that all activities at Buckskin Hills Recreation Area are purely voluntary in nature. I further agree that no representations have been made to me other than those expressly contained herein. In the event any part of this Agreement is deemed unenforceable, the other portions will remain enforceable. I agree that any lawsuit against Uintah County will be filed in Utah court or federal court in Utah and that Utah law will apply without regard to conflicts of law provisions. This Agreement and its terms are perpetual, do not expire and apply to each and every day (today and in the future) that I use and/or participate in any activity at the Buckskin Hills Recreation Area and related facilities even if such days are not consecutive and each and every injury.

IF PARTICIPANT IS A MINOR:

On behalf of my minor child(ren), I hereby acknowledge the inherit risk of my child(ren) using the Buckskin Hills Recreation Area and that Uintah County is not a guarantor of my child(ren)’s safety and if I do not wish to accept these risks, I should not allow my child(ren) to participate in any activity at the Buckskin Hills Recreation Area. I hereby agree to be bound by this RELEASE OF LIABLITY, ACKNOWLEDGMENT OF RISKS, AND CONSENT AGREEMENT regarding any claim I may have concerning my child(ren) and have authority to waive the rights of all parents and guardians of the child(ren).

May 28, 2022

First Participant's Name

First Name*

Last Name*

Phone*
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

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*

Phone*
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!