Waiver Of Liability printable pdf download

THE GEORGETOWN UNIVERSITY SUMMER CAMP

ASSUMPTION OF RISK, WAIVER OF LIABILITY and

PARENT/GUARDIAN PERMISSION FORM

CAMPER NAME: ______________________________________________________________

In order to participate in a Georgetown University Summer Camp, each participant must submit completed

versions of this Assumption of Risk, Wavier of Liability and Parental Permission Form and the

accompanying Health Form. Participants who have not completed both forms will not be permitted to

participate in camp activities until they are received.

AGREEMENT TO PARTICIPATE

To ensure that you and your parents understand and accept the risks of participation in the Georgetown

University Summer Camp (Summer Camp), you both must indicate your understanding and agreement by

signing on the appropriate lines below.

CAMPER AGREEMENT

I affirm that my participation in the Summer Camp is entirely voluntary, and understand that participation in the

Summer Camp involves a risk of injury due to certain inherent risks that cannot be eliminated regardless of the

care taken to avoid injuries, such as, but not limited to, the following: contact with other individuals playing in

the game; contact with the floor, walls, goals, posts or equipment which are part of the playing area; and

strenuous exertions, quick movements, and changes of speed, which place stress on the cardiovascular,

muscular, and skeletal systems. The specific risks vary from (1) minor injuries such as scratches, bruises and

sprains, to (2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and

concussions, to (3) catastrophic injuries including paralysis and death. I understand that if I have questions

about possible hazards, it is my responsibility to seek additional information from the Summer Camp staff prior

to signing this Form. I also understand that, despite safety precautions, neither the Summer Camp nor

Georgetown University can guarantee that I will not be injured. I agree to assume these risks.

I understand that the best way to make sure that I remain safe and avoid injury is to follow the rules, regulations

and instructions of the staff of the Summer Camp. I agree that I will learn and obey all the rules and regulations

and will follow all instructions of the staff of the Summer Camp.

PARENT/GUARDIAN AGREEMENT

I agree to allow my child/ward to participate in the Summer Camp and affirm that my child’s/ward’s

participation is completely voluntary. I understand that there are risks inherent in the activities my child will

engage in at the Summer Camp (some of which are described above) which may cause serious injury or even

death. I also understand that, despite safety precautions, neither the Summer Camp nor Georgetown University

can guarantee that my child/ward will not be injured. My child/ward and I are willing to assume these risks. To

minimize the risk, I have instructed my child/ward to obey all the rules, regulations and instructions of the

Summer Camp.

ASSUMPTION OF RISK, WAIVER OF LIABILITY, RELEASE & AGREEMENT NOT TO SUE: In

consideration for permitting me/my child/ward to participate in the Summer Camp, I voluntarily agree, for

myself, my heirs, executors, and administrators, to the following:

TO ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, OR PERSONAL INJURY,

INCLUDING DEATH that may be sustained by me/my child/ward, or any loss or damage to property owned

by me/my child/ward, as a result of training for, participating in, or traveling to or from the Summer Camp.

Waiver Of Liability