I hereby assume all risks of camp/clinic activity (including property loss or damage and death) that may result from any activity (including residence hall and/or dining hall activities) while my son / daughter is enrolled as a participant. As parent / guardian, I do indemnify, defend, and hold harmless the State of Virginia, Liberty University, its Board of Trustees , its Athletics Department, Liberty University sports camp/clinic in which my son/daughter is enrolled, and its officers, employees agents, coaches athletic trainers, and instructors and all participants in the sports camp/clinic program from any and all liability, including claims and suits at law or in equity, for injury, fatal or otherwise, and property loss or damage which may result from any negligence and/or the participant taking part in sports camp/clinic activities.
I certify that he/she is physically able to participate in the sports camp / clinic activities and has had a physical within the past year-to-date of the camp.
In the event of an injury, illness, and/or accident involving my son/daughter, I hereby give my consent for medical treatment and permission to a certified athletic trainer and/or his/her designee to supervise on-site first aid, to the appropriate camp/clinic personnel to properly transport my son/daughter to an appropriate medical facility for care, and in a licensed physician to hospitalize and secure proper treatment 9including infections, diagnostic procedures, anesthesia, surgery, and/or other reasonable and necessary procedures) for my son/daughter. I agree to assume any and all costs related to such treatment. I hereby authorize my health insurance company to pay benefits for the costs of such treatment. I also authorize the disclosure of medical information to my insurance company for the purpose of any claim. I understand that each participant must provide his/her own medical insurance in order to participate in the aforementioned camp/clinic
I understand that I am responsible for any and all medical and/or other changes related to the aforementioned participant’s attendance and participation in the LU Camps / Clinics Program. I also understand that registration is not considered complete until this completed and signed form is on file.
By signing up for this camp I understand that I am opting in to receive marketing emails from DRSS, LLC, Liberty University Softball and Cruise Planners - Freedom Cruise and Travel, LLC.
I understand that I can opt out of these emails by clicking the opt out link in the emails.
I, the undersigned, agree to the terms above.