RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENTThe effect of this document is to release Ozarks Technical Community College (“OTC”) from any liabilityresulting from your participation in the activities described below, and to waive all claims for damage or losses againstOTC which may arise from such activities. Read this document completely before signing.Participant’s Full Name: _______________________________________ Date of Birth_________________________Participant’s Address: __________________________________________________________________________________Emergency Contact Information:Name: _________________________________________________________________________________________Telephone: ____________________________________________________________________________________Relationship: __________________________________________________________________________________I am participating in (check all that apply): ? 5 mile trail runASSUMPTION OF RISK: I acknowledge that I have been informed of the nature of the above-named activities and that Iunderstand and appreciate the hazards and risks which may be associated with my participation in the above-named activities,including the risks of bodily injury, death or damage to property. I specifically acknowledge that the above-named activities arephysically strenuous and certify that I am fit and capable of participating in such activities, and that I have not been advisedotherwise by a qualified medical professional.RELEASE OF LIABILITY: In consideration of OTC permitting me to participate in the above-named activities, Ihereby release and discharge, indemnify and hold harmless OTC and its officers, agents, employees, and any otherpersons or entities acting on OTC’s behalf, and their successors and assigns, against any and all claims, demands, andcauses of action whatsoever, whether presently known or unknown, either in law or in equity, relating to injury,disability, death or other harm, to person or property or both, arising from my participation in and/or presence at theabove-named activities.PHOTOGRAPHIC RELEASE: I understand that I may be photographed during my participation in the above-namedactivities or events related to the activities. I agree to allow my photograph, video, or other likeness to be used by OTC, and/orany sponsors of the above-named activities, for any legitimate purpose.OTHER: I have read the foregoing Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement,understand that I have given up substantial rights by signing it and have signed it freely and without any inducement orassurance of any nature; I intend it to be a complete and unconditional release of all liability to the greatest extent allowed bylaw and agree that, if any portion of this Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement isheld invalid, the balance shall continue in full force and effect. I understand that this Release and Waiver of Liability,Assumption of Risk, and Indemnity Agreement shall be governed by the laws of the State of Missouri and that any claim,lawsuit, or other action must be filed only in the state or federal courts located within Greene County, Missouri.I HAVE CAREFULLY READ, FULLY UNDERSTAND, AND VOLUNTARILY SIGN THE ABOVE RELEASE ANDWAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT AND ACKNOWLEDGETHAT IT SHALL BE EFFECTIVE AND BINDING UPON ME, MY HEIRS, EXECUTORS, REPRESENTATIVES,AND ASSIGNS.Signature of Participant: _______________________________________________ Dated: __________________________If Participant is under the age of 18, his or her parent or legal guardian must also sign:I am the parent or legal guardian of the above-named Participant. I have read and I understand the provisions of this document,I consent to the participant taking part in the activities described above, and I fully enter into and agree to this Release andWaiver of Liability, Assumption of Risk, and Indemnity Agreement.
