PART I: RELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMITY AGREEMENT
In agreeing to participate in a South Carolina Department of Parks, Recreation, and Tourism (SCPRT) program, event, course, or trip, I recognize certain risks and dangers exist. These risks include, but are not limited to loss or damage of personal property, injury or fatality due to tripping over roots or rocks, falling from heights, drowning, and trauma from speeds and sudden stops, allergic reactions to foods, insects or wildlife, exposure to temperature extremes or inclement weather, sunburn, and vehicle accidents while traveling to and from the activity to site.
I further recognize that remote locations can delay the delivery of emergency medical services. I understand South Carolina Department of Parks, Recreation, and Tourism, its staff and other program participants shall assume no responsibility or liability for me for accident, illness, injury or loss or damage of personal property caused either by negligence or risks inherent in the activity. I acknowledge and assume all risks in connection with this activity, and I HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE SCPRT, or any of its officers, directors, agents, independent contractors, representatives and employees (each considered one of the Releases herein) from all personal injury, liability, costs, losses, damages, claims, demands, and actions, including negligence, based upon or sustained in connection with my participation. I further agree that if, despite this Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement I, or anyone on my behalf, makes a claim against any of the Releases, I WILL INDEMNIFY, DEFEND, AND HOLD HARMLESS each of the Releases from any litigation expenses, attorney fees, liability, costs, losses, or damages which may occur as a result of such claim.
By executing this Release, I acknowledge and represent that: I am 18 years of age and of sound mind; I have read the foregoing Release, fully understand its terms, understand that I have given up substantial rights by agreeing to it and have signed it voluntarily and unconditional release of all liability to the greatest extent allowed by law and I agree that if any portion of this Release Agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.
Futhermore, I hereby grant permision to all of the foregoing to use my name, voice or images of myself for any photographs, motion pictures, descriptions, publications, results or any other print, record, videographic or electronic recording of this event for any legitimate purpose.
PART II: AUTHORIZATION FOR EMERGENCY MEDICAL CARE
I am aware of my general condition and affirm that I am fit to participate in any activities required for participation in this program or event. I will fully disclose any relevant medical information to SCPRT staff, and will engage in all prescribed activities except for those noted by me and/or by my examining physician. In the event I am rendered unable to communicate by an emergency or accident, I authorize and request such medical and surgical services as may be necessary, and further agree to accept financial responsibility for same.
PART III: MEDICAL INFORMATION
Your SCPRT program or event may involve strenous physical activity. If you have questions regarding your health and participation, please consult your personal physician. Explain any medical concerns that might affect your ability to participate and/or information you wish us to pass on to EMS or hospital staff in case of emergency to SCPRT staff before engaging in any program activites.
Anyone with severe allergies to food, plants or insects must inform SCPRT staff, bring their own medication, and be able to self-administer it.
My checking that I acknowledge waiver represents my signature that I have acknowledged and agree to this document is also intended to bind my heirs, representatives, executors or administrators. Declining the waiver will prevent you from participating in any or all activiites associated with this event.