University of Lynchburg Athletic Department Liability Waiver

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RELEASE AND COVENANT NOT TO SUE

This is a legally binding release and covenant not to sue given by me to the University of Lynchburg.

In consideration for receiving permission to participate in the University of Lynchburg Women's Volleyball Prospect Camp, I am freely and voluntarily entering into this release and covenant not to sue. I fully recognize that there are dangers and risks to which I may be exposed by participating in University of Lynchburg Women's Volleyball Prospect Camp on December 9th, 2023.

I therefore agree to assume and take on all of the risks and responsibilities in any way associated with this activity. In consideration of and return for being permitted to participate in this activity, and for the services, facilities and other things provided to me by the University of Lynchburg in this activity, I hereby release the University of Lynchburg (and its trustees, employees or agents) FROM ANY AND ALL LIABILITY, CLAIMS AND ACTIONS THAT MAY ARISE FROM INJURY OR HARM TO ME, FROM MY DEATH OR FROM DAMAGE T MY PROPERTY IN CONNECTION WITH THIS ACTIVITY. I UNDERSTAND THAT THIS RELEASE AND COVENANT NOT TO SUE COVERS LIABILITY, CLAIMS AND ACTIONS CAUSED ENTIRELY OR IN PART BY ANY ACTS OR FAILURE TO ACT OF UNIVERSITY OF LYNCHBURG (or its trustees, employees or agents), INCLUDING, BUT NOT LIMITED TO NEGLIGENCE, MISTAKE OR FAILURE TO SUPERVISE BY THE UNIVERSITY OF LYNCHBURG.

I recognize that this release and covenant not to sue means I am giving up, among other things, rights to sue the University of Lynchburg for injuries, damages or losses that I may incur. I also understand that this release binds my heirs, executors, administrators and assigns as well as myself.

I have read this entire release and covenant not to sue, I fully understand it, and I agree to all of the terms and conditions as stated herein.

Email *

Name of Parent and/or Guardian: *

Name of Child Attending the Camp *

Typed Signature of parent and/or guardian:

By typing this signature, the parent and/or guardian fully understands and agrees to all terms and conditions that are stated in the above Liability Waiver.

Date of Signature: *

YYYY

Email of Parent and/or Guardian: *

Emergency Contact Name: *

Emergency Contact Number: *

Please list any allergies, or health concerns that you would like the University of Lynchburg to be aware of:

A copy of your responses will be emailed to the address you provided.

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