Due to the remote setting of some activities this weekend, access to hospital and medical facilities may be limited. Please sign below to provide consent for emergency medical treatment. Please note that coordinators are not trained medical professionals and may not be able to help if a serious accident or illness occurs.
I hereby authorize Southern Methodist University (SMU) to acquire, at my expense, any and all necessary emergency medical care I may require while I am participating in the SMU-in-Taos Cultural Institute from July 17-20, 2014.
I, the undersigned, a participant in the Southern Methodist University (“SMU”) Fort Burgwin Campus, Taos County, New Mexico (“SMU-in-Taos”), Cultural Institute hereby acknowledge that I have freely and voluntarily enrolled in the course at SMU-in-Taos during the summer of 2014. (Session: July 17-20, 2014). I understand and agree that the SMU-in-Taos Cultural Institute (the “Program”) structure is designed to enhance my educational experience, and that I participate at my own risk. In consideration for SMU allowing me to enroll in the Program and providing me the opportunity to enhance my educational experience, I hereby execute this Release of Liability with the intent to bind myself, my spouse (if applicable), my heirs, assigns, legal representatives, and any other person claiming under or through me. I further represent that I am at least 18 years of age and competent to sign this affirmation and release.
I understand that I must provide my own transportation to and from SMU-in-Taos, or if transportation is arranged for me by a faculty or staff member of SMU-in-Taos, I accept the same voluntarily and completely at my own risk, understanding that I am not required to accept such transportation. I also understand that if I provide my own transportation, I must provide automobile collision and liability insurance, at my expense, and that such transportation will not be covered by any insurance policy owned by SMU.
I understand and agree that by participating in the Program, I face risks of accidental and/or other physical or emotional injury. These risks may include, but are not limited to, (1) loss or damage to personal property, (2) injury or fatality due to (a) travel to and from SMU-in-Taos and throughout the Program, (b) the condition of the facilities at SMU-in-Taos, and/or (c) the condition of the facilities in which the Program will take place, (3) physical exertion and heat exhaustion, (4) inclement weather, (5) high altitude, (6) animal or insect bites, (7) dehydration, (8) exposure to outdoor terrain and all the risks inherent therein, including slips, falls and falling objects, and (9) suffering illness or injury in a remote area without easy access to medical facilities, among others. I understand and assume all risks of my participation in the Program.
I EXPRESSLY AGREE AND INTEND THAT MY PARTICPATION IN ALL PROGRAM ACTIVITIES AND USE OF ALL FACILITIES AT SMU-IN-TAOS SHALL BE UNDERTAKEN BY ME AT MY OWN RISK AND THAT NEITHER SMU, ITS TRUSTEES, OFFICERS, EMPLOYEES, STUDENTS, AGENTS, NOR ASSIGNS SHALL BE LIABLE FOR ANY INJURIES, DAMAGES, CLAIMS, DEMANDS, ACTIONS OR CAUSES OF ACTION WHATSOEVER WHICH MAY ARISE OUT OF OR IN CONNECTION WITH MY PARTICIPATION IN THE PROGRAM, WHETHER FROM ACTS OF ACTIVE OR PASSIVE NEGLIGENCE ON MY PART, OR THE PART OF SMU-IN-TAOS AND SMU, ITS TRUSTEES, OFFICERS, EMPLOYEES, STUDENTS, AGENTS AND ASSIGNS, AND I DO HEREBY AGREE TO FOREVER RELEASE, DISCHARGE, INDEMNIFY, HOLD HARMLESS AND DEFEND SMU-IN-TAOS, SMU, ITS TRUSTEES, OFFICERS, EMPLOYEES, STUDENTS, AGENTS AND ASSIGNS FOR ANY SUCH INJURIES, DAMAGES, CLAIMS, DEMANDS, ACTIONS OR CAUSES OF ACTION, COUNSEL TO BE CHOSEN BY SMU.
The terms of this Release of Liability are to be governed by and construed under the laws of the State of Texas. In the event any term or provision of this Release of Liability is found to be unenforceable or void, in whole or part, the term or provision concerned shall be construed as valid and enforceable to the maximum extent permitted by law, and the balance of this Release of Liability shall remain in full force and effect. I agree that exclusive venue for any dispute arising between SMU and me involving this Release of Liability in any way shall be in Dallas County, Texas.