Oregon Spinal Cord Injury Connection (OSCI)
ASSUMPTION OF RISK AND WAIVER AND RELEASE OF LIABILITY FORM
*Read Before Signing*
WARNING: There are significant elements of risk in any recreation activity associated with adaptive recreation and transportation between these events.
In consideration of my participation in outdoor recreation activities provided by Oregon Spinal Cord Injury Connection (“OSCI”), I expressly agree and contract, on behalf of myself, my heirs, executors, administrators, successors and assigns, that OSCI, its insurers, employees, officers, directors, and agents, shall not be liable for any loss or damage to property, damages arising from personal injuries (including death) sustained by me, regardless of whether such injuries result, in whole or in part, from the ordinary negligence of OSCI.
ASSUMPTION OF RISKS: I understand that engaging in outdoor recreation activities sponsored by OSCI involves known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. The risks include, among other things: falls from wheelchair, wheelchair malfunctions, collisions with other participants/pedestrians/vehicles, and obstacles in the roadway or pathway. Other risks of activity in the outdoors include insect and animal bites as well as weather-related injuries (due to cold, snow, ice, heat, rain, wind, and excessive sun). Any of these risks could lead to foreign objects in eyes, heat-stroke, dehydration, broken bones, concussions, cuts and scrapes, bruises, internal organ damage, fainting, emotional stress, and/or death. I understand that there are additional risks associated with paralysis including autonomic dysreflexia and injuries related to lack of sensation from pressure or temperature. I agree to conduct myself in a controlled and reasonable manner at all times. I acknowledge that I am physically and mentally capable of performing the physical activity I choose to participate in. I also understand that I will be solely responsible for mental and physical preparation for this activity and that should I become injured, emergency medical treatment from a hospital or physician may be delayed because we are in an area that is remote and many times inaccessible by conventional methods of transportation and care, such as ambulances. I understand that OSCI’s first aid kits do not contain drugs for internal use and that I need to disclose and bring these if I might need them. Additionally, if I have the potential for severe allergic reactions to bee stings, insect bites, poison oak, sunburn, etc. it is my responsibility to inform the trip leader of an allergy in advance, and to bring the proper medication on the activity. By signing below, I affirm that I know the inherent risks of participating in the activity, understand and appreciate those risks, and agree to assume responsibility for those risks.
WAIVER OF LIABILITY/INDEMNIFICATION: I accept and assume full responsibility for any and all injuries, damages (both economic and non-economic), and losses of any type, which may occur to me, and I hereby fully and forever release and discharge OSCI, its insurers, employees, officers, directors, and associates, from any and all claims, demands, damages, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated, or unanticipated, resulting from or arising out of the participation in the activity. I expressly agree to indemnify and hold OSCI harmless against any and all claims, demands, damages, rights of action, or causes of action, of any person or entity, that may arise from injuries or damages sustained by me.
I HAVE READ THE FOREGOING ASSUMPTION OF RISK AND WAIVER AND RELEASE OF LIABILITY. I AM VOLUNTARILY PARTICIPATING IN THE ACTIVITY AND I AM VOLUNTARILY EXECUTING THIS DOCUMENT WITH FULL KNOWLEDGE OF ITS CONTENT.
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[FIRST NAME] [LAST NAME]
Saturday, April 27, 2024
I am of full legal age and have read this assumption of risk and waiver and release of liability and am fully familiar with its contents. By my signature below, I also give my full and unqualified consent to the terms of this assumption of risk and waiver and release of liability on behalf of my minor child or any minor child I bring to an event.
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[FIRST NAME] [LAST NAME]
Saturday, April 27, 2024
Media Release
Oregon Spinal Cord Injury Connection (OSCI) an Oregon nonprofit public benefit corporation tax exempt under Section 501c3 of the Internal Revenue Code, may photograph, videotape or record my voice and use my picture, photograph, silhouette and other reproductions of my physical likeness and sound while I engage in activities sponsored by OSCI.
I have read this Release and agree to the following:
1. OSCI may reproduce, copyright, broadcast, exhibit, and distribute any or all photographs, audiotape or videotape recordings made of me, whether in whole or in part, and whether in their original form or transferred into another medium, for the nonprofit educational or charitable activities of OSCI.
2. I do not have the right to pre-approve my photographs, audiotape, or videotape recordings prior to distribution.
3. I understand that I will not receive compensation, payment, royalty, or other compensation for the use of my photographs, audiotape, or videotape recordings.
4. I understand that OSCI is under no obligation to make any use of my photographs, audiotape, or videotape recordings.
I agree that I will not bring any claims against OSCI, including claims for invasion of privacy, rights of publicity or other similar claims, because OSCI made public images or sounds of me. I release OSCI from all legal claims, known or unknown, which I have or may ever have, arising out of OSCI’s use of my photographs, audiotape, or videotape recordings.
I am of full legal age and have read this release and am fully familiar with its contents. By my signature below, I also give my full and unqualified consent to the terms of this Release on behalf of my minor child.
[FIRST NAME] [LAST NAME]
Saturday, April 27, 2024