Ursinus College Athletics Summer Camp Waiver

Assumption of Risk, Release and Indemnification Agreement

To the best of my knowledge, I am in good physical condition and have no health-related reasons or problems that would preclude me, my child or the child that I am registering from participating in this Ursinus College summer youth athletic camp to be held on the dates indicated in this registration (“Activities”). I understand that if I have concerns about my health or ability to participate, it is my responsibility to discuss my concerns with my physician before deciding to participate in the Activities. I am fully aware of the risks and hazards connected with the participation in the Activities, including but not limited to the risk of serious bodily injury or harm, including death, relating to, for example, terrain, uneven surface, falls, collisions with others, being hit by balls or other sports equipment, temperature, weather conditions, dehydration, condition of participants, equipment, actions of others (other participants, coaches, volunteers, etc.). Knowing those risks, I hereby elect to voluntarily participate in the Activities, knowing that the Activities may be hazardous to me and my property. I voluntarily assume full responsibility for any risk or loss, property damage, or personal injury, including serious bodily harm and death, that may be sustained by me, or loss or damage to property owned by me, as a result of participation in the Activities. I agree to follow all College policies and procedures, including the College’s policy on harassment and discrimination, all of which are available at www.ursinus.edu.

In the event that I require emergency medical treatment, I give my permission for and consent to evaluations, diagnoses, treatments, and/or medications in accordance with the standard medical practice by certified or licensed medical personnel (“Medical Care”). Further, I agree to accept any and all financial responsibility for any such Medical Care. Knowing the risks, dangers, and hazards described above, and in consideration of being permitted to participate in the Activities, I agree, individually, and on behalf of my heirs, successors, assigns and personal representatives, to assume all the risks, dangers, hazards, and responsibilities surrounding my participation in the Activities and any Medical Care I receive.

To the maximum extent permitted by law, I, individually, and on behalf of my heirs, successors, assigns and personal representatives, hereby release and forever discharge Ursinus College and its employees, agents, officers, trustees and representatives (in their official and individual capacities) from any and all liability whatsoever, which arise as a result of negligence on the part of the College, for any and all damages, losses or injuries (including death) I sustain to my person or property or both, including but not limited to any claims, demands, actions, causes of action, judgments, damages, expenses and costs, including attorneys’ fees, which arise out of, result from, occur during or are connected in any manner with my participation in the Activities and/or relating to any Medical Care provided to or received by me in connection with the Activities. Further, I, individually, and on behalf of my heirs, successors, assigns and personal representatives, hereby agree to indemnify, defend and hold harmless Ursinus College and its employees, agents, officers, trustees and representatives (in their official and individual capacities) from any and all liability, loss, damage or expense, including attorneys’ fees, that may result from my negligent or intentional act or omission, which arise out of, occur during, or are in any way connected with my participation in the Activities. I hereby further agree that this Assumption of Risk, Release and Indemnification Agreement shall be interpreted in accordance with the laws of the Commonwealth of Pennsylvania and that the Montgomery County (Pa.) Court of Common Pleas or the United States District Court for the Eastern District of Pennsylvania shall have exclusive jurisdiction of any dispute relating to the Activity and this Agreement. In signing this release, I acknowledge and represent that I have read the foregoing Assumption of Risk, Release and Indemnification Agreement, understand it and sign it voluntarily as my own free act and deed; that no oral representations, statements or inducements, apart from the foregoing written agreements have been made; and that I execute this agreement for full, adequate and complete consideration fully intending to be bound by same.