Skip to Local Navigation
Skip to Content
California State University, Long Beach
Summer Camps at The Beach
Print this pageAdd this page to your favoritesSelect a font sizeSelect a small fontSelect a medium fontSelect a large font
 

General Release and Waiver of Liability and Hold Harmless Agreement

Get Acrobat Reader

printable version

Please Read Carefully. This is a Release of Legal Rights.

In consideration of being allowed to participate in any way in the 2013 49er Camp program and/or being permitted to enter for any purpose any restricted area (defined as any area where admittance to the general public is prohibited) I, the parents(s) and/or legal guardians(s) of the minor named below agree to assume all risk of any kind of injury or damage my child may receive or sustain as a result of participation, including property loss, property damage, personal injury or death.

By my signature below, I acknowledge my understanding of this release and hold harmless and agree and confirm that:

  1. As the parent/guardian, it is my responsibility to instruct the minor participant if he or she believes anything is unsafe, the participant should immediately advise the officials of such condition and refuse to participate.
  2. The above named minor may, during the course of the program, participate in the following activities: fundamental locomotor and object control skills, balance and tumbling skills, rhythm and dance, health-related fitness, body awareness, lead-up games and sports, bowling, and aquatics, including swimming.
  3. I grant permission for the above-named minor to receive medical treatment for any and all injuries and illnesses sustained or experienced during his/her participation in 49er Camp activities, included but not limited to emergency first aid, emergency transport to a medical facility, and emergency treatment by medical personnel onsite or at a medical facility.

I KNOWINGLY AND FREELY ASSUME ALL RISKS, BOTH KNOWN AND UNKNOWN, AND HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS, FOR MYSELF, THE ABOVE NAMED MINOR AND OUR HEIRS, ASSIGNS AND NEXT OF KIN, THE STATE OF CALIFORNIA; THE TRUSTEES OF THE CALIFORNIA STATE UNIVERSITY, CALIFORNIA STATE UNIVERISTY, LONG BEACH, AND CALIFORNIA STATE UNIVERSITY, LONG BEACH FOUNDATION, ASSOCIATED STUDENTS INC., 49ER SHOPS, AND EACH OF THEIR TRUSTEES, OFFICERS, EMPLOYEES AND VOLUNTEERS WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with the presence or participation of the minor in my charge, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

Get Acrobat Reader