Student Release from Liability and Hold Harmless Agreement
The Roberto Ocasio Foundation 2018
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Please Note: This form has a file upload item for uploading an image file of the student and parent signature. It is best to acquire and prepare the signatures prior to starting the form and have them available as an image file.
Student Release from Liability and Hold Harmless Agreement
In consideration of being permitted to participate in the activities scheduled for the Roberto Ocasio Latin Jazz Music Camp from June 10_through_June 15, 2018, I, the undersigned (and parent or legal guardian if participant is younger than 18 years old), hereby agree to assume all the risks and responsibilities relating to my (or my child's) participation in the activities scheduled for the Latin Jazz Music Camp from June 10 through June 15, 2018, and further, I do for myself, my heirs and personal representatives, hereby agree to hold harmless, indemnify, and release and forever discharge The Roberto Ocasio Foundation and Case Western Reserve University and its respective officers, agents and employees, from and against any and all liability, loss, damage, costs, claims, and/or causes of action, including but not limited to all bodily injuries and property damage arising out of my participation in the activities scheduled for the Latin Jazz Camp from June 10 through June 15, 2018.
IN WITNESS WHEREOF, I have caused this release to be executed on... *
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Electronic Signatures. Each party agrees that the electronic signatures of the parties included in this Agreement are intended to authenticate this writing and to have the same force and effect as manual signatures.

Electronic Signature means any electronic sound, symbol, or process attached to or logically associated with a record and executed and adopted by a party with the intent to sign such record[, including facsimile or email electronic signatures] pursuant to the Ohio Uniform Electronic Transactions Act (R.C. 1306.01 et seq.) as amended from time to time.
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Signature of Parent or Guardian *
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