First Name *

Last Name *

Name of Event/ Program *

Date of Event *
- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2025 2024

GVSU Email *
Please enter a GVSU email address ending in @gvsu.edu or @mail.gvsu.edu.

Age on the date of the event *
18 or older
Under 18

ACKNOWLEDGEMENT OF RISK & RELEASE OF LIABILITY (aka. waiver) - must be signed by a parent/legal guardian if under 18

I hereby declare, assert, and affirm that my participation in the Grand Valley State University Outdoor Adventures (OA) event (Event) is done having voluntarily and knowingly assumed all risks involved. The immediate physical risk(s) associated are those correlated with normal, vigorous physical activity. These risks include, but are not limited to, bodily discomfort and fatigue, muscular soreness, pulled or strained muscles, overuse injuries/soft tissue damage, bodily injury resulting from falls, misjudgment of conditions or abilities, failure to follow instructions, or misused equipment, environmental hazards such as extreme temperatures and encounters with flora/ fauna, and the rare instance of abnormal changes/responses of the cardiopulmonary system to exercise. Adverse responses include abnormal blood pressure, heart arrhythmias, and the very rare instance of heart attack, stroke, or sudden death.

In consideration of acceptance of this contract allowing my participation in the above stated Event and intending to be legally bound thereby, I hereby for myself, my heirs, executors, administrators, and assigns, WAIVE AND RELEASE any and all rights and claims for negligence, injuries, damages, or losses that I may incur involved in the above stated Outdoor Adventures Event, specifically Grand Valley State University, its respective employees, agents, representatives, successors, and assigns for any and all activities connected with the above Event. If I am a Grand Valley employee (faculty or staff member), I also understand that I do hereby WAIVE any and all rights or benefits under the State of Michigan Worker’s Compensation laws for any injury incurred as a result of my participation in this event.

Should an accident or emergency occur, I hereby give permission to the OA staff that they may seek medical treatment on my behalf if in his or her judgement medical treatment is necessary. I agree to be responsible for any expenses incurred as a result.

By signing below I acknowledge that I have read and understand the acknowledgement of risk and release of liability and am voluntarily signing it. If any term or provision of this release shall be held illegal, unenforceable, or in conflict with any law governing the release, the validity of the remaining portions shall not be affected.

This is an OPTIONAL waiver. Failure to grant permission WILL NOT affect the above named participant's eligibility to fully participate in the event.

By signing below, I hereby authorize Grand Valley State University to:

1. Record the participant's likeness and voice on video, audio, photographic, digital, electronic or any other medium.
2. Use, reproduce, exhibit or distribute in any medium these recordings for any purpose that the University, and those acting pursuant to its authority, deem appropriate, including promotional or advertising efforts.

I give permission to Grand Valley State University to use, without charge and without reservation, the participant's likeness in any medium and for any lawful purpose, including promoting the University, its programs and services.

I waive any rights of action I may have and release Grand Valley State University and its licensees from any and all claims I may have arising from the participant's likeness, including any rights to sue for defamation or violation of my rights of privacy and publicity.