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University of Iowa

Terms, Conditions, Waiver and Release

I, in consideration of being permitted to participate in the Recreational Services of the UI SCUBA Club program (“Program”) and to use University of Iowa equipment and facilities in connection with the Program, on behalf of myself, my personal representatives, my heirs, and my assigns, I hereby release, waive and forever discharge the State of Iowa; the Board of Regents, State of Iowa; and The University of Iowa and each of their respective officers, employees, and agents (“Releasees”), from any and all liability for injury, including death, and property loss or damage that may result from, arise out of, or be related to my participation in the Program, including, but not limited to, my use of University of Iowa facilities or equipment or my travel in connection with the Program, whether caused by my negligence, the negligence of the Releasees or the fault or negligence of any third party. By signing below I acknowledge that I know, understand and appreciate the potential dangers associated with my participation in the Program and use of University of Iowa facilities and equipment in connection with the Program. These hazards may include, but not limited to, bodily injury, medical conditions, scrapes, strains, bruises, fractures, paralysis, concussions, eye injuries, lost or broken eye glasses, loss of contact lenses, chemical toxins, harmful bacteria and viruses, drowning and property loss or damage. If I elect to participate in the Program, I do so voluntarily and totally at my own risk. This Waiver and Release shall be governed in accordance with the substantive and procedural laws of the State of Iowa without regard to its conflicts of law provisions. All disputes arising hereunder shall be brought in the state courts having jurisdiction in Johnson County, Iowa and I hereby consent to the jurisdiction of such courts, agree to accept service of process by mail, and herby waive any jurisdictional or venue defenses otherwise available to me. By signing below, I further acknowledge and represent that I have read the foregoing, fully understand it, and sign it voluntarily as my own free act and deed. No oral representations, statements or inducements, apart from the foregoing written agreement, have been made.


Photo Release Statement
I, hereby consent to allow The University of Iowa or its designee to photograph, videotape and/or audio-record my image and/or voice. I hereby grant to The University of Iowa the rights to use, reproduce, assign, and/or distribute my image, voice, name and/or likeness in any media whatsoever for any educational, promotional and/or commercial purpose, in its sole discretion, without consideration of payment to me. The University of Iowa and its successors and assigns shall own all right, title and interest, including the copyright, to any such photograph, videotape and/or audio recording.

ScubaClubWaiver.pdf 143.97 KB 09/26/2013 18:53:52 Download Details View


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