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Snow Gear Agreement

AGREEMENT TO RELEASE ALL CLAIMS FOR INJURY
OR DEATH TO ME AND TO PROTECT THE UNIVERSITY AND OTHERS
FROM ANY SUCH CLAIMS MAY BE BROUGHT

I, the person signing below, being 18 years of age or older, choose to use certain recreational equipment from the University of Alaska (University), with knowledge that similar equipment could be rented or purchased from other sources without signing this AGREEMENT. I UNDERSTAND AND INTEND THAT THIS AGREEMENT WILL PREVENT ME AND MY FAMILY FROM SEEKING FINANCIAL COMPENSATION FOR INJURY OR DEATH CAUSED
TO ME BY THE FAULT OF THE UNIVERSITY AND OTHERS.

I recognize and appreciate that there are known and unknown risks, dangers and hazards that could injure or kill me while using such equipment. I recognize and appreciate that such risks may include PRODUCT DEFECTS AND/OR THE NEGLIGENCE, GROSS NEGLIGENCE OR RECKLESSNESS OF THE UNIVERSITY. These risks include, among others, collision with trees, roads, structures, vehicles, persons and terrain; known and unknown cliffs, terrain transitions, avalanches, stumps, rocks, streams or man made features; defective rental equipment which may break, be improperly adjusted, or be ill suited to my abilities or physical size or condition; and faulty warnings or directions from University personnel. I understand that these risks can result in permanent damage to my spine, head, bones and all other parts of my body. I recognize that these risks could kill me or leave me paralyzed, in terrible pain, destitute, subject to huge unpaid medical expenses, and/or no ability to earn a living. With this in mind, I DO HEREBY
VOLUNTARILY ASSUME ALL RISKS, DANGERS AND HAZARDS that I may encounter as part of or during the use of such equipment.

I HEREBY RELEASE AND AGREE TO RELEASE THE UNIVERSITY, ITS BOARD OF REGENTS, OFFICERS, AGENTS, AND EMPLOYEES, (RELEASED PARTIES) FROM ALL LIABILITY AND CLAIMS OF ANY KIND, INCLUDING CLAIMS FOR LOSS, EXPENSE, DAMAGES, PUNITIVE DAMAGES OR ATTORNEY FEES, WHICH MAY ARISE ON ACCOUNT OF INJURY TO ME OR MY DEATH, INCLUDING EMOTIONAL DISTRESS TO ME OR LOSS OF COMPANIONSHIP OR SUPPORT TO MY FAMILY, OCCURRING AS A RESULT OF MY USE OF UNIVERSITY RECREATIONAL EQUIPMENT (CLAIMS). THIS RELEASE APPLIES EVEN IF MY INJURY OR DEATH IS CAUSED BY A PRODUCT DEFECT OR BY THE NEGLIGENCE, GROSS NEGLIGENCE OR RECKLESSNESS OF RELEASED PARTIES.

FURTHER, I PROMISE TO INDEMNIFY AND HOLD HARMLESS THE UNIVERSITY, AND PAY ITS COSTS OF DEFENSE, IF CLAIMS ARE BROUGHT BY ME OR BY ANYONE ELSE FOR DAMAGES RELATED TO INJURIES OR DEATH TO ME, IF SUCH CLAIMS ARE BROUGHT AGAINST ANY OF THE RELEASED PARTIES. THIS PROMISE APPLIES EVEN IF MY INJURY OR DEATH IS CAUSED BY A PRODUCT DEFECT OR BY THE NEGLIGENCE, GROSS NEGLIGENCE OR RECKLESSNESS OF RELEASED PARTIES.

I have decided to use University equipment, and have entered into this AGREEMENT, on the basis of my own information and not in reliance upon representations of the University or other released parties. I understand that I have the right to consult an attorney of my choice before signing. I further understand that this document contains the entire agreement and no oral or written agreements or representations limiting or modifying the effect of the terms of this AGREEMENT exist or occurred.

I agree that I will not challenge the validity or enforceability of this AGREEMENT. I further agree that if any part of this AGREEMENT is held to be invalid or unenforceable for any reason, the balance of the AGREEMENT remains valid and enforceable. I INTEND THAT THIS AGREEMENT IS AND WILL BE BINDING ON MYSELF, MY FAMILY, ESTATE, HEIRS, SUCCESSORS, ASSIGNS, INSURERS, MEDICAL PROVIDERS AND PERSONAL REPRESENTATIVES.

First Renters Name

First Name*

Middle Name

Last Name*

Phone*
First Renters Date of Birth*
First Renters Information

UA ID # or Drivers License # *
First Renters Signature*
Second Renters Name

First Name*

Middle Name

Last Name*
Second Renters Date of Birth*
Second Renters Information

UA ID # or Drivers License # *
Third Renters Name

First Name*

Middle Name

Last Name*
Third Renters Date of Birth*
Third Renters Information

UA ID # or Drivers License # *
Fourth Renters Name

First Name*

Middle Name

Last Name*
Fourth Renters Date of Birth*
Fourth Renters Information

UA ID # or Drivers License # *
Fifth Renters Name

First Name*

Middle Name

Last Name*
Fifth Renters Date of Birth*
Fifth Renters Information

UA ID # or Drivers License # *
Sixth Renters Name

First Name*

Middle Name

Last Name*
Sixth Renters Date of Birth*
Sixth Renters Information

UA ID # or Drivers License # *
Seventh Renters Name

First Name*

Middle Name

Last Name*
Seventh Renters Date of Birth*
Seventh Renters Information

UA ID # or Drivers License # *
Eighth Renters Name

First Name*

Middle Name

Last Name*
Eighth Renters Date of Birth*
Eighth Renters Information

UA ID # or Drivers License # *
Ninth Renters Name

First Name*

Middle Name

Last Name*
Ninth Renters Date of Birth*
Ninth Renters Information

UA ID # or Drivers License # *
Tenth Renters Name

First Name*

Middle Name

Last Name*
Tenth Renters Date of Birth*
Tenth Renters Information

UA ID # or Drivers License # *
Renters Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
Check to receive information and news on REC Center Rental equipment/programs.
Email me a copy of this document.
Emergency Contact

First Name*

Last 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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

UA ID # or Drivers License # *
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.


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