Liability Release:
I understand that participation in the above Activity or Event may be hazardous for the above-name participant.
I further acknowledge that, as a volunteer, I will undergo special makeup effects as well as possibly sitting/standing on grass for a duration of time, in which clothes (shirts and pants) may be damaged.
I further acknowledge to exercise full capacity of the healthcare system, there are different actor card scenarios students will be exposed to. Below is a list of potential victim types students should be aware of when volunteering. Participating involves exposure to scenarios that simulate traumatic events. Wounds will be simulated to look very realistic and could be disturbing. Wounds could consist of the following: gun shots, burns, lacerations, fractures, eviscerations, head injuries, impaled objects, bruises, and contusions.
In signing below, I assume risk of harm or injury which may occur to the participant as a result of participating in the above-named event or activity. I hereby release the Southwest Texas Regional Advisory Council and its officers, employees, or agents from any liability, costs and damages resulting in this individual’s participation.
Permission for Photography:
I hereby grant STRAC permission to use my likeness in a photograph in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property of STRAC and will not be returned.
I hereby irrevocably authorize the STRAC to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing the STRAC’s programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.
I hereby hold harmless and release and forever discharge the STRAC from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I am 18 years of age and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.