To participate in the Society of Hospital Medicine Point of Care Ultrasound Regional Course, Rocky Mountain Chapter Training Course you will need to provide proof of COVID-19 vaccination 

What date(s) did you receive your first dose and second dose (if applicable) of the vaccine?

I exercise my own free and voluntary choice to participate in the designated activity, including traveling to and from the training site, hotel and accommodations, and use of facilities and equipment provided by the University of Colorado. I understand and assume all associated risks of the designated activity. These risks include, but are not limited to:

Travel & Accommodations:

By participating in the activity, you are choosing to travel at your own risk. All out-of-state traveling and hotel accommodations will be on the participant to arrange and purchase.

The University of Colorado and course planners are not responsible for travel costs if conditions warrant a cancellation. It is strongly recommended that you purchase “cancel for any reason” travel insurance when you book your trip.

Risk to Person:
Despite careful and proper preparation, instruction, medical advice, conditioning, and equipment, there is still a risk of serious injury or illness when participating in any activity/program. Understandably, not all hazards and dangers can be foreseen. Volunteers and participants must understand that depending upon the particular activity, certain risks, dangers, and injuries due to natural occurrences beyond human control or influence, exposures to a community spread illnesses or diseases, inclement weather, slips, trips, falls, defective equipment, carelessness, horseplay and all other circumstances inherent to these activities/programs exist.

While we will be doing our best to avoid the spread of COVID-19 and variants, we want you to be aware that we will not be able to enforce a 6-foot social distancing since this is hands-on training. COVID protocols will be a “minimum” standard – and can be added upon if a participant wants to be more stringent in their protection.

To attend this program, I attest that:

• I understand that Coronavirus/COVID-19 is very contagious, that COVID-19 is believed to spread mainly from person to person contact, and that it is not possible to eliminate any and all risks related to the potential spread of COVID-19
• I am participating in this event voluntarily and at my own risk 
• I will not attend the event if I am experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell

I acknowledge that the University of Colorado cannot guarantee that I will not become infected with COVID-19 (coronavirus) by virtue of attendance at this training and that the University of Colorado has not made any representations or undertaken any obligations with respect to the venue of this event or the health of any staff or other participants. The number of attendees and the use of face coverings for this event will be determined based on local government guidance and a local assessment of risk. Participants and Volunteers are welcome to add other levels of protection beyond the minimum standard if they so choose. 

I agree to assume all risk of personal injury or loss, bodily injury (including death), damage to or loss of, or destruction of any personal property resulting from or arising out of participation in the designated activity. I also release, waive, indemnify, hold harmless, and discharge the University of Colorado from all claims, damages, and injuries arising out of my activities, including, if applicable, my use of equipment and facilities provided by the University of Colorado.

The University of Colorado does not provide health insurance for individuals participating in activities made available or sponsored by the University of Colorado. As such, you or your personal health insurance will be responsible for payment of medical services and care for any injuries sustained during the designated activity.

Participants in university activities are sometimes photographed and videotaped for use in University of Colorado promotional, educational, and research programs. Such audio, video, film, and/or print images may be edited, duplicated, distributed, reproduced, broadcast, and/or reformatted in any form and manner without payment of fees.