RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT (ADULT ON BEHALF OF MINOR)


The University of Tampa

Spartans Boys Basketball Camp

 

NOTICE TO THE MINOR CHILD’S NATURAL GUARDIAN READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF THE UNIVERSITY OF TAMPA USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE  SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN  DANGERS  INHERENT  IN THE  ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING  THIS FORM,  YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM THE UNIVERSITY OF TAMPA  IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING  DEATH, TO YOUR CHILD  OR  ANY  PROPERTY  DAMAGE  THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO  SIGN THIS FORM, AND THE UNIVERSITY OF TAMPA HAS THE RIGHT TO REFUSE TO LET YOUR CHILD  PARTICIPATE IF YOU DO NOT SIGN THIS FORM.          

 

I, for myself, my heirs and personal representatives, hereby assume all liabilities, risks, injuries and hazards to my child/children, ,  incidental  to, or as a result of, participation in Spartans Boys Basketball Camp, including transportation TO AND FROM the said activity.  I freely acknowledge the fact that this/these program(s) may have, and/or do  involve, physical contact or other conditions or factual circumstances where physical or other injuries, including but not limited to concussion, may occur, and that transportation to and from said event could involve the potential for an automobile, or other, accident.  As legal guardian and/or natural parent of the above referenced child/children, I do hereby waive, release and agree to indemnify and hold harmless the  University of Tampa, their officers, agents, employees, the organizers, sponsors, activity supervisors, co-sponsoring organizations and participants for any claim, demand, liability, costs, suits, charges or compensation for loss or injury of any kind arising out of a loss or an injury, including losses or injuries arising from the negligence of the University of Tampa, their agents or employees and sponsors or activity supervisors, arising from my child/children's participation in the said activity.   I, as legal guardian and/or natural parent of the above referenced child/children, assume all risk of injury, liability, and loss arising from my child/children’s participation or presence at said activity.  I acknowledge that the University of Tampa and Spartans Boys Basketball Camp, will not assume any costs relating to any injury while my child/children are involved in this activity, or from transportation to or from this activity.

            This Waiver, Release and Hold Harmless/Indemnification Agreement is in consideration of the University of Tampa permitting my child/children’s participation in the activity or program at issue and in further consideration of the University of Tampa not requiring self-funded liability insurance coverage on my part  as a condition precedent to my child/children’s participation in the activity.  I, as legal guardian and/or natural parent of the aforesaid child/children, freely and voluntarily assume all risk of loss or injury arising from my child/children’s participation in the activity whether due to my negligence, my child/children's negligence, or the negligence or intentional acts of others.  I acknowledge that, absent this Release and indemnification, the University of Tampa, or other sponsors of the activity would not have offered me, or my child/children, the access to the activity because of unacceptable exposure to civil liability claims and/or lawsuits, or the expense of providing a program that is risk-free.  By signing this waiver, I agree to indemnify any and all employees of the University of Tampa for any and all damages which result from any and all acts or omissions, including negligence, in whole or in part, on the part of any University of Tampa employee.

            I have read and understood this document and sign it freely and knowingly, intending that it shall be fully operative and effective in all respects and that it waives legal rights to which I, or my child/children, might otherwise be entitled if my child/children are hurt or suffer loss during his/her/their participation in that  activity.

 

YOU MUST CAREFULLY READ THIS DOCUMENT BEFORE SIGNING IT.

YOU ARE WAIVING OR RELEASING VALUABLE LEGAL RIGHTS.

YOU ARE ADVISED TO SEEK THE ADVICE OF AN ATTORNEY IF YOU

DO NOT FULLY UNDERSTAND THIS DOCUMENT.

 

SIGNED

                                               

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT (ADULT ON BEHALF OF MINOR)
lock iconUnique Document ID: 644cc2efbb1c93be196b6dbd496edb967b4ff122
Timestamp Audit
June 2, 2023 6:20 pm EDTRELEASE, WAIVER AND INDEMNIFICATION AGREEMENT (ADULT ON BEHALF OF MINOR) Uploaded by Justin Pecka - [email protected] IP 173.168.206.190