I am aware that participating in this
intramural activity involves several inherent risks of bodily injury. In consideration to
the right to participate in this activity, I waive and release any and all rights and
claims for damage I may have against the University of Alaska, its Board of Regents,
officers, employees and agents, for any and all injuries suffered while participating in
this activity unless such injury is caused by the gross negligence of the University of
Alaska. I give consent to emergency treatment, including hospitalization as may be needed.
I hereby agree to submit any disputes that may arise between myself and the University of
Alaska, its agents, servants, and or employees, in the connection with my intramural
activities at the University of Alaska, to binding arbitration in accordance with the
rules of the American Arbitration Association. I am in good health and able to undertake
in an intramural program.