UHDS Pizza Eating Contest Entry Form & Statement of Responsibility and Assumption of Risk Regarding Participation in Non-Academic Activity

UHDS Pizza Eating Contest Entry Form & Statement of Responsibility and Assumption of Risk Regarding Participation in Non-Academic Activity
WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT
Release executed by: (Full Name of Participant)*
WIU Email Address*
example@wiu.edu
Address*

Address

Street Address Line 2

CityState

Zip
and who is participating in the UHDS Pizza Eating Contest, through Western Illinois University and/or the WIU Foundation.
Participant Desire to Participate in the Activity
Participant is eligible for and now attempting to participate in the aforementioned activity on January 30, 2025 at Western Hall, Macomb, IL.

Participant understands the activity is optional and they are willfully choosing to participate.
Waiver of Institutional Liability for the Risks and Dangers
The Undersigned understands that there are certain dangers, hazards, and risks inherent to this activity, which could include serious or even mortal injuries and property damage, and that neither The Board of Trustees of Western Illinois University (the “Institution”) nor the WIU Foundation assume responsibility for any such personal injuries or property damage.
Knowing the dangers, hazards, and risks of this activity, and in consideration of being permitted to participate in the activity, the Undersigned agrees to assume all risks and responsibilities surrounding participation in the activity, and in advance release, and forever discharge, waive, and covenant not to sue the Institution, the Foundation, its governing board, officers, agents, employees, and/or any students acting as employees in their official and individual capacities, from and against any and all liability for any harm, injury, damage, claims, demands, actions, causes of action, costs, and expenses of any nature whatsoever which Participants may have or which may hereafter accrue to the Undersigned, arising out of or related to any loss, damage, or injury, including but not limited to suffering and death, that may be sustained by Participant or by any property belonging to Participant, whether caused by the negligence or carelessness of the Participant, WIU or WIU Foundation or otherwise, while in, on, or upon the location where the activity occurs or is being conducted.*

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UHDS Pizza Eating Contest Entry Form & Statement of Responsibility and Assumption of Risk Regarding Participation in Non-Academic Activity

WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

Participant Desire to Participate in the Activity

Waiver of Institutional Liability for the Risks and Dangers