Kids University Camp Waiver Form

STUDENT INFORMATION:

STUDENT EMERGENCY INFORMATION:

No personal or medical information will be shared with outside parties.

KIDS UNIVERSITY CAMP WAIVER

1. Participant wishes to participate in the above-referenced camp ("Activity"). Participant & guardian understands that risks and dangers in the Activity include but are not limited to falls, falling objects and broken or improperly used equipment, which could result in damage to or loss of property, drowning, illness or disease, physical or mental injury or death of participant or other persons. Injuries that may result from participation in this activity may include, but are not limited to, cuts, bruises, or sprained joints, broken bones, psychological trauma, infection, and death. Participant freely participates in the Activity. Participant & gaurdian understands and assumes all associated risks of personal injury or loss, bodily injury (including death), damage to, loss, or destruction of any personal property occurring in connection with or arising out of participation in the Activity.

2. Participant’s guardian states to the best of his or her knowledge that Participant is free from any known health condition that could hinder or prevent active participation in or otherwise jeopardize the well-being of others in the Activity. By his/her signature below, Participant affirms that Participant is in good health and that participation in the camp will in no way aggravate such health condition. Participant will seek medical advice as appropriate.

3. Participant’s guardian agrees to, and understands the importance of, following rules and regulations as set forth by camp leaders to minimize risk to Participant and others. Participant will neither bring nor possess any items, such as knives, weapons, and illegal drugs, or other items which might endanger Participant or others. Possessing the above may result in removal from the Activity.

4. Participants in University of Colorado events are sometimes photographed and videotaped for use in promotional and education materials. Participant understands that such audio, video, film and/or print images may be edited, duplicated, distributed, reproduced, broadcast, and/or reformatted any form and manner without payment of fees. Participant authorizes the University of Colorado to record and photograph Participant’s image for use by the University of Colorado or its assignees in research, educational and promotional programs.

5. Participant’s guardian hereby releases and discharges, indemnifies and holds harmless The Regents of the University of Colorado, a body corporate, and its member officers, agents, employees and any other persons or entities acting on their behalf, and the successors and assigns for any and all of the aforementioned persons and entities, against all claims, demands, costs and expenses, and causes of action whatsoever, either in law or equity, arising out of or in any way connected with any loss and/or bodily injury and/or disability, arising from Participant’s participation in the Activity.

As the legal parent/guardian of this student filling out this form, I understand the above provisions. I authorize Kids University to obtain emergency medical attention, and I release Kids University from responsibility in connection with such emergency medical attention. If you do not accept, please close your browser window at this time.