WAIVER AND RELEASE OF LIABILITY
I, , HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN UT Health’s six-week training plan, including but not limited to: serious injury, dehydration, illness, permanent disability, or death; dangerous road conditions or traffic; exposure to extreme weather or temperatures; damage, loss or theft of property; potential exposure to COVID-19 or other communicable diseases; and any risks that may arise from the acts of participants, training plan organizers, and employees.
I certify that I am in good health, have sufficiently prepared to participate in this training plan, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity. I understand that signing up for or participating in the training plan does not create a physician-patient relationship with Dr. Peebles or any other UT Health medical provider. I agree to abide by all training plan rules, policies and procedures which may be changed with or without notice. I acknowledge that [UT Health/Ardent] may terminate my participation in the training plan at any time for any reason at [UT Health/Ardent]’s sole discretion.
In consideration of my participation in the training plan, I for myself, my executors, personal representatives, administrators, heirs, next of kin, successors, and assigns agree to WAIVE, RELEASE, DISCHARGE, INDEMNIFY AND HOLD HARMLESS [UT Health/Ardent] and its officers, directors, employees, agents, affiliates, successors, and assigns, from any and all demands, losses, damages, costs, expenses including without limitation reasonable attorneys’ fees, expenses, and court costs, and liabilities including but not limited to liability arising from the negligence or acts or omissions of the entities or persons released, for my personal injury, illness, disability, death, property damage, property loss, property theft, or actions of any kind.
I certify that I have read this Waiver and Release of Liability and I fully understand its content. I am aware that this is a release of liability and a contract, and I am signing it voluntarily and of my own free will.
Dated this 19 day of April, 2024
