ACCEPTANCE OF RISK, RELEASE AND WAIVER

As a participant in the Boxing Club activities, I recognize and acknowledge that there are certain risks of physical injury including, but not limited to death which may arise from involvement in travel, excursions, or other group activities. I understand that Boxing Club is organized to conduct boxing workouts and to observe boxing events only, that sparring is not permitted at Boxing Club activities, and that I will not spar during Boxing Club activities. Any intent to spar will be under a separate agreement with the boxing venue separate and apart from Club activities.

MEDICAL CERTIFICATION, INFORMATION and CONSENT for MEDICAL TREATMENT

I have no physical condition which would present a risk of injury to me through my participation in Boxing Club activities. Notwithstanding any instruction or consultation by the University of Chicago, I agree to assume responsibility for any such injuries, damages or loss which I may sustain as a result of participating in any and all activities connected with or associated with the Boxing Club except if caused by the sole negligence of The University of Chicago. Risk of injury may include but are not limited to sprains/strains, muscle injury and contusions.

I also understand that the University does not provide health, accident or liability insurance to the Boxing Club or to me. I certify that I have health insurance that will cover medical services that might be necessary or to the extent my medical insurance does not provide benefits sufficient to cover the full costs of medical treatment, the foregoing waiver and release of the School shall include waiver and release of payment of medical bills incurred as a result of my participation in the Activity.

WAIVER and RELEASE

I hereby release, waive and discharge the University of Chicago, its trustees, officers, agents and employees from any and all liability, claim, damages and losses arising out of any loss, damage or injury that may be sustained by me or to any property belonging to me while participating in Boxing Club activities. I acknowledge that the University is providing me with an educational and athletic opportunity and I further agree to indemnify and hold The University of Chicago harmless for any occurrence resulting therefrom except if caused by the sole negligence of The University of Chicago. It is my express intent that this Acceptance of Risk Agreement shall bind the members of my family, my heirs and assigns. This agreement shall be construed in accordance with the laws of the State of Illinois. I further agree that participation in any activity will be at my own discretion and judgment. I will abide by all applicable safety rules.

I also certify that I am eligible to participate in activities because I am a graduate or undergraduate student, faculty member, staff employee, or graduate of the University, or a spouse or University-registered domestic or civil union partner of one of these and I agree that I will cease to participate if my status changes. I further understand that should The University of Chicago discover that I have not satisfied any one of these requirements, it may, but is not required to, terminate my participation. I am 18 years of age or older. I have read and fully understand the above Acceptance of Risk and I voluntarily sign this Agreement.