Release of Liability and Assumption of Risk for Yellowhawk
Wellness Programming & Events

All first-time participants must read and sign the below participation waiver.

In consideration of my being able to participate in wellness programming and events and use the Yellowhawk Tribal Health Center fitness facilities (Yellowhawk Fitness Facility) associated equipment and services, I hereby release and covenant not to sue the Confederated Tribes of the Umatilla Indian Reservation (CTUIR), the Yellowhawk Tribal Health Center (Yellowhawk) or their officials, employees, instructors, or agents (collectively referred to as “Indemnified Parties”) from any and all present and future claims resulting from any act, error or omission on the part of Indemnified Parties for loss, damage, theft of personal property, personal injury, or death arising as a result of using the Yellowhawk Fitness Facility and equipment and engaging in fitness or wellness activities or any activities incidental thereto, wherever, whenever, or however the same occur. I hereby voluntarily waive any and all claims, both present and future, that may be made by me, my family, estate, heirs or assigns. I agree that I am voluntarily participating in Yellowhawk activities and the use of the Yellowhawk Fitness Facility and associated equipment and services, and to the fullest extent permitted by law, I assume all risk of injury, illness, damage, or loss to me or my property. I accept the Yellowhawk Fitness Facility and associated equipment and services “as is” and I agree to use these facilities, services and equipment at my own risk. I will inspect all equipment and facilities to be used and will not use any equipment which I believe to be damaged or defective. I will promptly notify the Yellowhawk staff, Risk Management/QI Manager or designee of anything which I think could be damaged or defective.

Further, I am aware that health and wellness activities may range from vigorous cardiovascular activity (i.e., aerobics, treadmills, elliptical) to the strenuous exertion of strength training (i.e., free weights, weight machines). These activities could also encompass wellness activities, either in person or via electronic means. I understand that these and other activities at Yellowhawk Fitness Facility, and offered by Yellowhawk via electronic means, involve certain risks, including but not limited to, death, serious injuries resulting in complete or partial paralysis, heart attacks, and injury to bones, joints, or muscles. I am voluntarily participating in exercise and wellness activities with knowledge of the risks and potential dangers involved and hereby agree to accept any and all inherent risks of property damage, personal injury, or death. I further agree to indemnify and hold harmless the Indemnified Parties for any and all claims by a third party against any Indemnified Parties caused by my negligent or intentional acts, errors or omissions arising as a result of my engaging in fitness or wellness activities or any activities incidental thereto at the Yellowhawk Fitness Facility.

I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of the CTUIR and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further affirm that the venue for any legal proceedings regarding the validity, interpretation and enforcement of this Release shall be in Umatilla Tribal Court. I understand that any accident or injury to me in my use of the Yellowhawk Fitness Facility will not be covered by or make me eligible for any benefits under the CTUIR Workers Benefit Code as provided in Section 4.11 of that Code. I hereby grant permission to Yellowhawk Tribal Health Center to use photographs and/or video of me in publications, news releases, online, and in other communications related to the mission and vision of Yellowhawk Tribal Health Center and this event. My consent is freely given as a public service to Yellowhawk, without expecting payment.

Question Title

* 1. I have read this form and fully understand the contents of Yellowhawk's Release of Liability and Assumption of Risk Waiver. I also understand that I should consult my physician or healthcare provider prior to starting an exercise program.

Yes

Question Title

* 2. I have read this form and fully understand the contents of Yellowhawk's Release of Liability and Assumption of Risk Waiver. I also understand that I should consult my physician or healthcare provider prior to starting an exercise program.

Yes

Question Title

* 3. By typing my name below, I affirm that I have read the above participation waiver and fully understand its contents. I affirm that I am of legal age and/or am the legal guardian of registered minor and am freely signing this agreement.

Please enter your first and last name

Name of Emergency Contact

Phone Number for Emergency Contact

Question Title

* 4. How would you like to remain up to date on Yellowhawk fitness classes and health promotion events? Please provide your phone number or email below.
^{For example: class reminders, cancelation notices, and scheduled closures.}

Text Message:

Email:

Question Title

* 5. Date completed.

Please select today's date:

Date

Release of Liability and Assumption of Risk for YellowhawkWellness Programming & Events

All first-time participants must read and sign the below participation waiver.

Question Title

* 1. I have read this form and fully understand the contents of Yellowhawk's Release of Liability and Assumption of Risk Waiver. I also understand that I should consult my physician or healthcare provider prior to starting an exercise program.

Question Title

* 2. I have read this form and fully understand the contents of Yellowhawk's Release of Liability and Assumption of Risk Waiver. I also understand that I should consult my physician or healthcare provider prior to starting an exercise program.

Question Title

* 3. By typing my name below, I affirm that I have read the above participation waiver and fully understand its contents. I affirm that I am of legal age and/or am the legal guardian of registered minor and am freely signing this agreement.

Question Title

* 4. How would you like to remain up to date on Yellowhawk fitness classes and health promotion events? Please provide your phone number or email below.For example: class reminders, cancelation notices, and scheduled closures.

Question Title

* 5. Date completed.

Release of Liability and Assumption of Risk for Yellowhawk
Wellness Programming & Events

* 4. How would you like to remain up to date on Yellowhawk fitness classes and health promotion events? Please provide your phone number or email below.
^{For example: class reminders, cancelation notices, and scheduled closures.}