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Thursday, June 12, 2025 until Friday, June 13, 2025 Eastern Daylight Time UTC -04:00
Franciscan University of Steubenville1235 University BlvdSteubenville, OH 43952United States
REQUIRED Please read this document and submit at the bottom:PLEASE READ THIS DOCUMENT CAREFULLY BEFORE SIGNING. THIS IS A LEGALLY BINDING DOCUMENT. THIS FULLY SIGNED FORM MUST BE SUBMITTED BY A PARENT OR LEGAL GUARDIAN BEFORE ANY CHILD IS ALLOWED TO PARTICIPATE IN THE ABOVE REFERENCED PROGRAM/ACTIVITY.
Parent/Guardian Release and Consent
I, the undersigned, wish for my Child (hereafter “Child”) to participate in the above referenced youth program or activity (hereafter “Program”) on the date(s) and location(s) indicated above and, in consideration for my Child’s participation, I hereby agree as follows: CHI-83579-5
1. Waiver, Release and Assumption of Risk.
I acknowledge, understand and appreciate that as part of my Child’s participation in the Program there are dangers, hazards and inherent risks to which my Child may be exposed, including the risk of serious physical injury, temporary or permanent disability, and death, as well as economic and property loss. I further realize that participating in the youth program may involve risks and dangers, both known and unknown, and have elected to allow my Child to take part in the Program. Therefore I, on behalf of my Child, voluntarily accept and assume all risk of injury, loss of life or damage to property arising out of training, preparing, participating and traveling to or from the Program, except to the extent caused by Franciscan University of Steubenville’s willful misconduct.
I, on behalf of my Child, hereby release, waive, discharge and covenant not to sue Franciscan University of Steubenville, its Board of Trustees, Administration, Faculty, Staff, the Program Staff, and all other officers, directors, employees, volunteers and agents (hereafter “the University”) from any and all liability as to any right of action that may accrue to my heirs or representatives for any injury to my Child or loss that my Child may suffer while training, preparing, participating and/or traveling to or from the Program, unless caused by the willful misconduct of the University, its employees or agents. I recognize that I may be giving up, among other things, certain limited rights to sue the University for injuries, damages or losses my Child may incur by virtue of my Child’s participation in the Program. This agreement is binding on my heirs and assigns.
Furthermore, I (We) understand that the University will not be liable if the undersigned and/or participant (under 18 or 18 and older) fails to cooperate with the rules and that any infraction of the rules may result in immediate dismissal from the activity or program at my (our) expense. Through me, the minor agrees to abide by all the rules and regulations stated by Franciscan University of Steubenville, the site organization, and the staff
2. Indemnification
I, on behalf of my Child, furthermore release, defend, indemnify and hold harmless the University from and against any and all liability, actions, debts, claims and demands of every kind whatsoever, specifically including, but not limited to, any present or future claim, loss, cost, damage or expense or liability for injury to person, including death, or property that my Child may suffer, for which my Child may be liable to any other person, that may or does arise out of my Child’s participation in the Program, excluding only claims arising out of the University’s own willful misconduct, together with any legal and related expenses which may be incurred by the University in defending such claims. I understand that the University accepts no responsibility for my Child’s personal property.
3. Emergency Medical Treatment
In the event of an accident or serious illness, I hereby authorize representatives of the University to obtain medical treatment for my Child on my behalf. I hereby hold harmless and agree to indemnify the University from any claims, causes of action, damages and/or liabilities, arising out of or resulting from said medical treatment. I further agree to accept full responsibility for any and all expenses, including medical expenses that may derive from any injuries to my Child that may occur during his/her participation in the Program.
4. Optional Image and Likeness Release
I (We) DO grant to Franciscan University of Steubenville my consent without reservation to use, assign, convey, reproduce, copyright, or publish my/my child’s name, voice, image, and/or likeness that arises from his/her participation in the activity or program, whether still or motion pictures, audio or video tape, for promotional, instructional, business or any other lawful purposes, at Franciscan University’s sole discretion.
5. Jurisdiction and Choice of Law – State of Ohio
This RELEASE shall be governed by and construed under the laws of Ohio. In the event I file a lawsuit against Franciscan University of Steubenville, I agree to do so solely in the State of Ohio, and further agree that the substantive law of Ohio shall apply, without regard to conflict of laws. I agree that if any portion of this release and consent form is found to be void or unenforceable, the remaining portions shall remain in full force and effect.
This RELEASE contains the entire agreement between the parties to this agreement and the terms of this RELEASE are contractual and not a mere recital. The information I have provided is disclosed accurately and truthfully. I have been given ample opportunity to read this document and I understand and agree to all of its terms and conditions. I understand that I am giving up substantial rights (including my right to sue), and acknowledge that I am signing this document freely and voluntarily, and intend by my signature to provide a complete and unconditional release of all liability to the greatest extent allowed by law. My signature on this document is intended to bind not only myself and my Child but also the successors, heirs, representatives, administrators, and assigns of myself and my Child. Parent's Digital Signature: