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IVY TECH RELEASE

I freely choose to participate in this Activity. I understand that I do hereby fully and irrevocably release, waive and discharge ������Ƶ of Indiana (������Ƶ), its trustees, officers, employees, volunteers, agents and assigns from any and all claims for illness, injuries, including death, to myself or other persons and from any and all claims for damages to my or other persons’ property, arising out of or in any way relating to my participation in said Activity. I further understand that myself, my heirs, representatives, agents and assigns, do hereby fully and irrevocably release, waive and discharge ������Ƶ of Indiana (“������Ƶ”), its trustees, officers, employees, volunteers, agents, and assigns from any and all claims for illness, injury, including death, to myself or other persons and from any and all claims for damages to my or other persons’ property, arising out of or in any way relating to my participation in such Activity. I agree and understand that participating in such Activity is acceptance of risk of illness, injury, property damage, or death. I acknowledge and understand that participation is voluntary and can include possible exposure to, and illness from infectious diseases included but not limited to MRSA, influenza and Covid. I knowingly and freely assume all such inherent risks, both known and unknown, even if arising from the active or passive negligence of the releases or others, and assume full responsibility for my participation. I willingly comply with the stated and customary terms and conditions for participation in such Activity as regards to protection against infectious diseases. If I observe any unusual or significant hazard during my presence or participation, I agree to bring the hazard to the attention of the nearest official immediately, and remove myself from participation.��

It is acknowledged and understood that I am responsible for the cost of any and all medical and health services I may require as a result of such participation. It is also acknowledged and understood that ������Ƶ disclaims any responsibility for students and others who travel to said Activity in vehicles not owned, leased, or rented by ������Ƶ, and I hereby assume all risks associated with driving myself and/or others, or being driven by others, to or from said Activity. Further, I hereby agree to indemnify and at ������Ƶ’s request, defend and save harmless, ������Ƶ, its trustees, officers, employees, volunteers, agents and assigns from and against any loss, damages, costs, claims or expenses arising from any actual or claimed death or injury to any person or actual or claimed damage to property, whether owned by me, ������Ƶ, or third parties, including loss of use, that actually or allegedly results from my conduct, by act or omission, relating to my participation in said Activity.��

In connection with my participation, I grant permission to ������Ƶ and its agents and employees the irrevocable and unrestricted right to reproduce the photographs and/or video images and/or interviews taken of me for the purpose of publication, promotion, illustration, advertising, or trade, in any manner or in any medium. I hereby release ������Ƶ and its legal representatives for all claims and liability relating to said images and/or interviews. I will make no monetary or other claim against ������Ƶ for the use of the photograph(s)/video and/or interviews.��

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I HAVE READ AND I UNDERSTAND THIS RELEASE AND AGREE TO BE BOUND BY ITS TERMS AND CONDITIONS.

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Please put your full name below and the date.

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