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Assumption of Risk and Release from Liability (“Agreement”)
The IUPUI Office of Undergraduate Admissions, on behalf of The Trustees of Indiana University (“IU”), is
arranging for transportation from the IUPUI Campus to Lucas Oil Stadium, White River State Park, and back to
facilitate participation by interested students in a field trip on April 17, 2023 (“Field Trip”).
I, ____________________________, wish to participate in the Field Trip. In consideration of the services to be
rendered by IU in organizing the Field Trip and in consideration of my participation in the Field Trip, I hereby agree
to the following:
1. I understand activities for the Field Trip may include, but are not limited to, the following: travel to, from, and
during the Field Trip (by car, taxi, bus, boat, or walking); physical activities (e.g., running, walking, climbing stairs);
physical exertion such as lifting or moving heavy objects; spending extended periods of time outdoors being
exposed to the elements (sun, wind, rain); consumption of food and/or beverage; and the following additional
activities: riding on a bus, walking around campus and other Indianapolis locations, taking a tour
2. I understand that certain risks are inherent in travel and participation in the Field Trip. These risks may include,
but are not limited to, such things as incidents related to travel to an urban setting, including transportation, driver
error, adverse weather conditions, and exposure to theft and other criminal activity; sprains, broken bones, cuts,
bruises, entrapment, temporary or permanent disability, and/or death; allergic reactions to food and drink items;
other physical, mental, and emotional injury; other risks and dangers, whether known or unknown nor reasonably
foreseeable; and the following additional risks: falling, traffic accident, tripping, fire or other emergency.
3. I understand that some drivers of vehicles in which I ride on this Field Trip, the owners, officers, employees, or
agents of any attraction, enterprise or vendor of which I take part or participate during the Field Trip, the
staff/employees of any hotel at which I stay, the staff/employees of any site I may visit, the other participants of
the Field Trip (whether associated with my group or not), and other third parties (collectively, “Third Parties”),
are not the agents or employees of IU and that dangers may be caused by the negligent or intentional act(s) or
omissions of such Third Parties. I understand that IU is not responsible for any injuries or property damage that
may be caused by the acts or omissions of such Third Parties.
4. I understand that my participation in this Field Trip is entirely voluntary and at my own risk. I fully
understand the scope of the activities and the potential risks involved in the Field Trip. I agree to
assume the risks of my participation in the Field Trip, including the risk of catastrophic injury or death.
5. I understand and agree that IU does not provide insurance to cover medical expenses for injuries that may be
sustained by me or for damage to my personal property, and that IU strongly recommends that I carry my own
health, medical, and property insurance for purposes of potential losses related to this Field Trip.
6. I fully understand that all IU policies and regulations, including those embodied in the Code of Student Rights,
Responsibilities and Conduct, are in effect and apply to my behavior for the entire duration of the Field Trip. I
understand that any violations of these policies and regulations may result in sanctions up to and including, in
appropriate circumstances, referral to the Indiana University Police Department and/or the Office of Student
Ethics for disciplinary action.
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7. I authorize IU, acting through its agents, employees, or representatives, to take photograph, video, and/or audio
recordings of me, including my name, image, likeness, performance, and/or voice (“Recordings”). I also grant IU
an unlimited right to reproduce, use, exhibit, display, perform, broadcast, create derivative works from, and
distribute the Recordings in any manner or media now existing or hereafter developed, in perpetuity, throughout
the world. I agree that the Recordings may be used by IU, including its assigns and transferees, for any purpose,
including but not limited to, marketing, advertising, publicity, or other promotional purposes. I agree that IU will
have final editorial authority over the use of the Recordings, and I waive any right to inspect or approve of any
future use of the Recordings. I acknowledge that I am not expecting to receive compensation for participating in
the Recordings or for any future use of the Recordings. I release and fully discharge IU, and its employees, agents,
and representatives, from any claim, damages, or liability arising from or related to my participation in the
Recordings or IU’s future use of the Recordings.
8. I hereby release and fully discharge The Trustees of Indiana University, including its officers, agents,
and employees, from any and all claims or causes of action that may be brought by me or by any other
person (including, but not limited to, my estate, family, successors, heirs, representatives,
administrators, and/or assigns), including all liability for damage to personal property, personal injury
or loss arising out of or related to my participation in the Field Trip to the fullest extent permitted by
9. This Agreement shall be governed by and construed under the laws of Indiana. Notwithstanding any other
agreement that I have signed related to this Field Trip that purports to establish the venue for any litigation arising
from this Field Trip, I agree that I will file no action against IU or its officers, employees, and agents, whether
based on this Agreement or in any way otherwise connected to this Field Trip, in any court other than a court in
Marion County, Indiana.
10. I have read this entire Agreement, I fully understand it, and I agree to be bound by it. I represent and
certify that my true age is at least 18 years old or, if I am under 18 years old on this date, my parent or legal
guardian has also signed the Agreement.
Participant Name (Print):
Participant Signature: Date:
If Participant is under 18 years old, his/her parent or guardian must sign below.
Parent/Guardian Name (Print):
Parent/Guardian Signature: Date: