By electronically accepting the following I acknowledge, declare and agree as follows:

1. That I have voluntarily agreed to participate in the on-line/and or any UMA Ellsworth Wellness opportunities (the “Program”) from and in consideration of being permitted to participate in the Program, do voluntarily execute this “Release and Assumption of Risk” on behalf of my self, my heirs and next-of-kin, my personal representatives and my estate.

2. That I have been fully informed of the nature, scope and demands of the Program, and I understand that the Program may include activities which could be dangerous to me and other participants and which could cause property damage, bodily injury and/or death.

* SUCH DANGERS, HAZARDS AND RISKS OF THIS ACTIVITY MAY INCLUDE, BUT ARE NOT LIMITED TO, INJURIES INFLICTED BY THE FOLLOWING:  The participant should be aware of the typical dangers, hazards and risks that accompany exercising including cardiorespiratory activities, free weights, resistance activities, and group exercise classes.

ANY AND ALL INJURIES THAT COME FROM PHYSICAL ACTIVITY INCLUDING SPRAINS, BREAKS, TEARS, BRUISES, LACERATIONS, HEART OR LUNG ISSUES ETC.  YOU SHOULD ALWAYS CHECK WITH YOUR PRIMARY CARE PHYSICIAN BEFORE STARTING ANY EXERCISE REGIMEN.

3. That the University of Maine System and its University of Maine at Augusta (hereinafter referred to as the “University”) has informed me that there may be dangers and hazards inherent to participants in the Program because of the activities involved, and that I personally recognize and appreciate that such dangers and hazards exist.  I accept and assume full responsibility for all harm and injury, of every nature, including death, which may occur to me or which I may suffer or cause to others, and for all damages or loss to any real or personal property owned by me, or damaged by me while I am participating in the Program and during all travel and transportation, and, in furtherance thereof, I agree to indemnify, defend, hold harmless and release the University, its Trustees, faculty, employees, volunteers and agents, from and against any and all claims, demands, actions or causes of action, on account of damage or loss to my real or personal property, my personal injury or death, or the personal injury, death or damage to real or personal property of others caused by me, which may occur or result directly or indirectly from my participation in the Program, INCLUDING, BUT NOT LIMITED TO, ANY AND ALL CLAIMS, DAMAGES, DEMANDS, ACTIONS OR CAUSE OF ACTION, RESULTING FROM THE NEGLIGENCE OF THE UNIVERSITY, ITS TRUSTEES, FACULTY, AGENTS, EMPLOYEES OR VOLUNTEERS.

4. I declare that I am able to physically withstand and cope with the indicated rigors of the Program with or without a reasonable accommodation.  If an accommodation is needed, I will contact Lori J. Googins, UMA Ellsworth Center Director.

5. This “Release and Assumption of Risk” shall be construed and interpreted pursuant to the laws of the State of Maine, and if any portion thereof is held invalid, void, unenforceable or illegal, the remainder shall continue in full force and effect.