Informed Consent and Waiver

Must be read by each intramural team member personally. Upon submission of team registration form, you are confirming that all members have read and agree to the following statement. 

By submitting this Informed Consent and Waiver, I acknowledge and understand that participation in Intramural Sports is voluntary and that the possibility of injury does exist when participating in Intramural Sports. As the participant, I acknowledge that, in the event of injury, no compensation is available from Intramurals Sports, Campus Recreation, Ursinus College, their member, agents, or employees. I further agree to assume the risk that unexpected events may occur and result in loss, harm, injury, or illness to me or damage to my personal property while I am participating in or observing the Activity. I hereby agree to indemnify and hold harmless Ursinus College, Intramural Sports, its sponsors, employees, volunteers, affiliates, officers, agents, successors and assigns, subordinates, and any other persons connected to this event from any liability.

In the event that I require emergency medical treatment, I give my permission for evaluation, diagnoses, treatment, and/or medication in accordance with the standard medical practice by certified or licensed medical personnel. I relieve Ursinus College Intramural Sports of all responsibility and consequences that may arise as a result of treatment. Further, I agree to accept any and all financial responsibility as a result of the performed treatment. I consent to the provision of emergency medical treatment to the extent that the treatment is necessary in the medical opinion of the doctor rendering treatment.

The participant’s responsibility to obtain appropriate insurance or pay all charges associated with the injury is hereby confirmed.

PARTICIPANT CONDUCT STATEMENT: Intramural Sports adheres to the policies outlined in the Code of Student Conduct.

By allowing the captain to submit this registration form,  I confirm that I have read the Informed Consent Statement & Waiver and the Participation Conduct Statement. I sign this of my own free will and for the purpose of participating in activities sponsored or promoted by Intramural Sports.