Saint Mary's Camps and Community ProgramsClinics and Camps Waiver
INFORMED CONSENT, LIABILITY RELEASE, MEDICAL TREATMENT AUTHORIZATION, PHOTO RELEASE
I hereby agree that my child may participate in the Saint Mary’s University of Minnesota sports clinic/camp. I understand the level of supervision to be provided, the number of potential participants, and the clinic’s/camp’s degree of difficulty. I understand and acknowledge that certain risks (including death, injury, serious neck and spinal injuries, paralysis, brain damage, and injury to vital organs, bones, joints, muscles, and tendons) are associated with the athletic activity of the clinic/camp. I understand and acknowledge that my child must follow the rules, regulations, and instructions provided by the staff of the clinic/camp. I certify that my child is medically fit to participate in the clinic/camp.
In consideration of the enrollment of my child in this clinic/camp, I assume all risks in connection with the clinic/camp, including risks of harm, injury or damage to my child. I hereby release Saint Mary’s University of Minnesota (the University), its agents, and employees from any and all damages, claims, and causes of action whatsoever for any loss or injury suffered by me/us or my child, including any damages, claims or causes of action which may result from the negligence of the University, its agents, or employees. I agree to save and hold harmless the University, its agents, and employees from any claim by me or my child or my child’s estate arising out of my child’s enrollment and participation in the clinic/camp. I intend by this instrument to exempt and release the University, its agents and employees from all liability whatsoever for personal injury, property damage, or wrongful death caused by negligence.
In consideration of my child’s enrollment in the clinic/camp, I do hereby grant permission to the staff and physicians of the University, any medical or surgical consultants deemed advisable, and any hospital to render to my child any medical and surgical treatment that they deem necessary. I understand that all possible effort will be made to inform me in case of such treatment. I agree to be personally responsible for any related medical expenses. On behalf of my child and myself, I release the University, its agents, and employees from any liability arising out of the medical and surgical treatment obtained. I authorize the University to release medical information regarding my child to interested parties including physicians and athletic trainers.
I give the University the absolute right and permission to use photographs taken of my child in its promotional materials and publicity efforts, without further notice to me. I understand that the photographs may be used in recruiting brochures, newsletters, magazines, other publications, print ads, direct-mail pieces, electronic media (e.g. video, CD-ROM, Internet/www, websites), or other forms of promotion. I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown. I waive any right to royalties or other compensation arising from or related to the use of the photograph. I hereby release the University and its officers, agents or employees, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper or via electronic media, from and against any claims, damages or liability arising from or related to the use of the photographs, including but not limited to any misuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.