Sports Waiver

Event Waiver for Student Intramural Programs

THIS IS A RELEASE OF LIABILITY – READ BEFORE SIGNING

NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS ALLOWED TO
TAKE PART IN ANY MEMORIAL UNIVERSITY OF NEWFOUNDLAND SPONSORED EVENT,
INTRAMURAL PROGRAM OR SPECIAL EVENT OPERATED BY THE WORKS.

STUDENT/PARTICIPANT NAME (Please Print) ______________________________________

STUDENT NUMBER _______________________
EMERGENCY CONTACT NAME ________________________
EMERGENCY PHONE NUMBER _______________ (cell) ____________________ (other)
IN CONSIDERATION of being permitted to participate in any way in the “Event” being held by
Memorial University Recreation Complex Inc. (“MURC”) I, ____________________________,
acknowledge, appreciate and agree that:
1. The Event shall include, but is not limited to, all running, walking, physical fitness
activities, pre-event and post event activities related thereto, competitions,
demonstrations, instructional clinics, seminars and sessions and all other such activities,
event or services in any way provided arranged, organized, conducted, sponsored,
authorized or connected with or related to the Event organizers;
2. I know that participating in physical fitness and sport events is a potentially hazardous
activity; I am satisfied and believe that I am physically, emotionally and mentally able to
participate in this Event and I should not participate without my physician’s approval;
3. I am familiar with and accept that there is a risk of injury, possibly of a serious nature in
participation in the Event;
4. Injuries may include but are not limited to, bruises, abrasions, strains, sprains, muscular
injuries, fractures, back injuries, joint injuries, concussions, sunburn, heat stroke
paralysis and death;
5. Injuries may result from, without limitation, contact with other persons or objects,
course conditions, weather conditions, slipping tripping and/or falling;
6. I knowingly and freely assume all such risks, both known and unknown, even if arising
from the negligence of those persons released from liability below, and assume full
responsibility for my participation;
7. I understand that all applicable rules for participation must be followed, regardless of
my role, and that at all times during the Event the sole responsibility for my personal
safety rests with me;
8. I will immediately notify the nearest official of MURC and/or Memorial University of
Newfoundland, if at any time I sense or observe any unusual hazard of unsafe condition
or I feel that I have experienced any deterioration in my physical, emotional or mental
fitness, for continued safe participation in the Event;
9. I understand that MURC and Memorial University of Newfoundland assume no

responsibility for personal injury of loss of or damage to my personal property;
10. I agree to release and waive liability for all claims that I have, or may in future have,
against Memorial University Recreation Complex Inc, and Memorial University of
Newfoundland and/or any person(s), entities or organization(s) associated in any way
with the Event, from any and all liability for any loss, damage, injury of expense that I
may suffer as a result of my participation or presence at the Event, due to any cause
whatsoever, including negligence, breach of contract, or breach of any statutory or
other duty of care, on behalf of MURC and Memorial University of Newfoundland;
11. I declare that I have read, understood and agree to the contents of this WAIVER FORM
in its entirety and I sign it freely and voluntarily without any inducement.
_______________________________________ ___________________________
STUDENT/PARTICIPANT SIGNATURE DATE
_______________________________________ ___________________________
WITNESS SIGNATURE DATE
PARENT/GUARDIAN/CUSTODIAN MUST READ THIS FORM AND SIGN BELOW (IF PARTICIPANT
IS UNDER 19 YEARS OF AGE)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do
consent to the foregoing and agree not only to his/her release of Memorial University of
Newfoundland and Memorial University Recreation Complex Inc. and all other Releasees but
also to release and indemnify the Releasees from any and all liabilities incident to his/her
involvement in these programs for myself.
______________________________________ ___________________________
PARENT/GUARDIAN SIGNATURE DATE
______________________________________ ___________________________
WITNESS SIGNATURE DATE
PARENT/GUARDIAN EMERGENCY CONTACT#: ______________________________________

Sports Waiver

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Event Waiver for Student Intramural Programs

THIS IS A RELEASE OF LIABILITY – READ BEFORE SIGNING

STUDENT/PARTICIPANT NAME (Please Print) ______________________________________

9. I understand that MURC and Memorial University of Newfoundland assume no

PARENT/GUARDIAN EMERGENCY CONTACT#: ______________________________________

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