Testing Form

The undersigned does hereby acknowledge that he/she/they is aware of the dangers and the risks to the participant’s person and property involved in participating in the activity listed above. The undersigned understands that this activity involves certain risks for physical injury to the participant, as well as risks regarding exposure to COVID-19. By participating in this activity, the undersigned acknowledges he or she may be increasing the risk of contracting the virus.

The undersigned also understands that there are potential risks that may presently be unknown. Because of the dangers of participating in this activity, the undersigned recognizes the importance of complying, and agrees to fully comply, with the applicable laws, policies, rules and regulations, and any IRF instructions regarding participation in this activity, including instructions related to social distancing precautions, wearing face coverings, physical separation, and sanitization. The undersigned understands that IRF does not ensure participants in the above-described activity, that any coverage would be through personal insurance, and IRF has no responsibility or liability for injury or illness resulting from this activity. The undersigned acknowledges that the participant voluntarily elects to participate in this activity with knowledge of the danger involved, and hereby agrees to accept and assume any-and-all risks of property damage, personal injury or illness, or death.

Waiver of Liability and Indemnification: In consideration for being allowed to voluntarily participate in the above referenced event, on behalf of myself, the participant, his/her/their personal representatives, heirs, next of kin, successors and assigns, the undersigned forever: a. waives, releases, and discharges IRF, its board members, agents, officers, coaches, employees, and owners and lessors of the premises, if applicable, from any and all liability for the participant’s disability, personal injury or illness, property damages, property theft, death or claims of any nature which may hereafter accrue to the participant, and the participant’s estate as a direct or indirect result of participation in the activity or event; and b. defend, indemnify, and hold harmless IRF, its board members, agents, officers, volunteers, and employees from and against any and all claims of any nature including all costs, expenses and attorneys’ fees, which in any manner result from participant’s actions during this activity or event or participation in the event. I, the undersigned, affirm that I am freely signing this agreement. I have read this form and fully understand that by signing this form I am giving up legal rights and/or remedies which may otherwise be available to me, regarding any losses I may sustain because of participation in the activity. I agree that if any portion is held invalid, the remainder will continue in full legal force and effect.


5445 S. Highland Drive
Suite 5
Salt Lake City, UT 84117


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