Acknowledgment, Assumption of Risk, and Release

This Release is executed and acknowledged on the ___________ day of ______________________, 2008. ____________________________________, of __________________, Oklahoma, hereinafter referred to as “Releasor”, for good and valuable consideration, does for himself/herself and personal representatives, heirs, executors, administrators, assigns and next-of-kin, hereby release, waive and forever discharge, indemnify, agree to defend and covenant not to sue the Board of Regents of the University of Oklahoma, its officers, regents, employees, agents, and representatives, hereinafter collectively referred to as “Releasees”, and their heirs, personal representatives, and next-of-kin, for any and all losses, damages, claims, demands, actions or rights of action of whatsoever kind or nature, either in law or in equity, arising from or by reason of any bodily injury or personal injury, known or unknown, death and/or property damage resulting, or which may occur as a result of traveling to and from, attending and participating on __________________, hereinafter referred to as the “Field Trip” to visit ______________________________________________________.  I further understand that my attendance at this event is both optional and voluntary.

Further, I recognize and acknowledge all of the potential risks and dangers of the activities which may occur while travelling to and from, attending and participating in “Field Trip”, including hiking across rough terrain and climbing in hilly or mountainous terrain and other activities related to geological studies, but hereby acknowledge and state that all my activities associated with and/or related to attending “Field Trip” are entered into as free and voluntary acts with full and complete knowledge of the risks involved.

I understand that this Release contains the entire agreement between the parties hereto and the terms of this Release are contractual and not a mere recital.  Furthermore, I have carefully read the foregoing Release and know the contents there of and sign this Release as my own free and voluntary act.

Student/Releasor:  ________________________________________________    Date:  ___________________

Witness:  ________________________________________________________    Date:  ___________________

Course Title, Number, & Section:        

Emergency Contact Information:

Person to contact:  _________________________________________      Phone Number:  __________________

Relationship to participant:  ___________________________________________________________________

Address:  _________________________________________________________________________________

Medical Allergies:  __________________________________________________________________________

                                                                                                                                                                         01-28-08