Assumption of Risk/Release of Liability Agreement and Consent to Emergency Medical Treatment (Adult, with any Minor, Participants)
I, (“Adult, with any minor, Participant”), in consideration of my participation in the Leader Retreat of the Decade in Italy (“Event”), on behalf of myself, my assigns, my heirs, and any children and/or minor I am bringing and I am responsible for, expressly and knowingly agree to indemnify, defend and hold harmless the You Have Got The Power companies, Las Vegas (hereinafter “Sponsor”), its officers, agents, employees and volunteers, for any and all claims, demands and/or causes of action for property damage, personal injury or death sustained by my arising out of the Event conducted by or under the auspices of Sponsor, including, but not limited to, the selection and/or provision of emergency medical services. In consideration of my being permitted by Sponsor to use its facilities and/or participate in the Event, I agree to the following:
I understand and agree that Sponsor cannot control all of the risks associated with the Event, and may need to respond to accidents and other emergency situations. Therefore, I hereby give my consent to the administration of any medical treatment that may be deemed by Sponsor to be required for myself relative to my participation, with the understanding that the costs of such treatment will be my sole responsibility.
I agree to hold YHGTP, its officers, agents, volunteers and employees harmless from all costs associated with such treatment. I acknowledge that Sponsor does not carry medical or any other insurance for participants in the Event. Therefore, I must provide myself with my own medical, disability or other appropriate insurance.
By signing this Agreement, I acknowledge the inherent risks associated to my participation in the Event and that such risks include, but are not limited to, the following:
- Risk of physical injury, illness, accident or death in traveling to and from, and participating in, the Event;
- Property loss, theft or damage;
- Exposure to dust, gas, fumes or chemicals;
- Tripping, slipping or falling;
- Problems related to exposure to the elements: for example, heat exhaustion, dehydration, sunburn, frostbite, and allergic reactions.
I hereby certify that I am in good physical and mental health and has had no previous, and do not have a pre-existing, medical conditions or injuries affecting my ability to participate in the Event, nor have I been declared medically ineligible for any athletic competition.
I hereby grant to YHGTP the right to photograph, videotape or otherwise digitally collect my likeness, voice and sounds. I understand that video and/or audio recordings taken of me by YHGTP shall be used for educational purposes and to promote such purposes, including dissemination of information for public service announcements.
This Agreement contains the entire agreement between the parties, and supersedes any prior written or oral agreements between them concerning the Event. The provisions of this Agreement will continue in effect after the conclusion of the Event, whether said conclusion is by agreement, operation of law or otherwise.
I have read the foregoing Agreement and have knowingly and willingly signed it with a full understanding of its purpose. I affirmatively represent that I am competent to execute this Agreement, intend to be bound by it, and agree that it shall be governed by the laws of the State of Nevada. I further understand that all incidences of noncompliance with any Event rules will result in my dismissal from the Event.