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GIVE TO TECH
I, the undersigned, certify that I am the parent or legal guardian of the minor whose name appears at the top of this form (hereinafter "MINOR"). In consideration of MINOR being permitted to be in, or engage in the activity of Senior High School Band Camp (collectively "Camp") on the Arkansas Tech University Campus, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I do hereby individually, and as parent or legal guardian of MINOR, execute this Release and Waiver of Liability for and on behalf of MINOR, our legal representatives, heirs, relatives, next of kin, and assigns. Individually, and as a parent or legal guardian of the minor, I hereby forever release, waive, covenant not to sue, and discharge, Arkansas Tech University, its officers, Board of Trustee members, administrators, faculty, employees, agents, representatives, and/or staff members (hereinafter TECH) from any and all liability to MINOR, our legal representatives, heirs and assigns, for any and all loss, claims or damages that MINOR may have or that may hereafter accrue, resulting from the death or injury to MINOR, whether caused by the active or passive negligence or otherwise of TECH, while MINOR is participating in Camp.
With all of these facts being known, I, individually, and as parent or legal guardian of MINOR voluntarily agree to indemnify, defend and hold harmless TECH from any and all actions, causes of action, claims, judgments, loss, liability, damage or costs (including attorneys fees) suffered as a result of MINOR participating in the Camp, whether caused by the active or passive negligence or otherwise of TECH, its officers, shareholders, employees, individuals, agents, or representatives. I, individually and as parent or legal guardian, expressly agree that this release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Arkansas, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I, individually, and as parent or legal guarding of MINOR, attest and verify that MINOR is physically fit and sufficiently trained to participate in the Camp.
I understand that by submitting this document, this release of liability is legally binding on me, the minor, our heirs, personal representatives, relatives and assigns and that I am knowingly and intentionally giving up bothmy and the MINOR'S legal rights and remedies which otherwise would be available to me and/or MINOR, our heirs, personal representatives, relatives or assigns against TECH.
By my submission hereto, I certify that I have read and understood each and every provision contained herein; that I have explained the significance of this release of liability to MINOR; and that I am of legal age and have voluntarily signed this release and agree to all of its terms.
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