2018 Laurence Boutique Sports Camp Registration Form
The Boutique Sports Camp will take place on Sunday 11/12 from 9:00 am to 2:00 pm at Laurence School.   The total cost for camp is $100 and includes pizza for lunch.
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Student's Name *
Student's Gender *
Student's Current Grade *
Student's Date of Birth *
Parent Information
Parent 1 Name *
Best Phone # in case of emergency *
Work Phone #
Email Address *
Parent 2 Name *
Best Phone # in case of emergency *
Work Phone #
Email Address *
WAIVER, ASSUMPTION OF THE RISK AND INDEMNITY AGREEMENT IN CONNECTION WITH THE 2017 BOUTIQUE SPORTS CAMP
Boutique Sports Camp Waiver Agreement- 2017-2018 School Year
By way of this letter agreement, I set forth my complete and unconditional release of the Laurence School from any and all claims and/or liability stemming from my child's use of the Sports & Performing Arts Center (“the PAC”), or any facilities on Laurence School's campus for the Boutique Sports Camp during the 2017-2018 school year or to participate in any other activity in the PAC or any facilities on Laurence School's campus, during non-school hours (collectively, “the Activity”).  I hereby agree to all of the following:
WAIVER
In consideration for being permitted to participate in the Activity, I, for myself, my heirs, personal representative or assigns, do hereby release, waive, discharge, and covenant not to sue the Laurence School, its officers, employees and/or agents from liability from any and all claims resulting in personal injury, illness (including death) and/or property loss arising from, but not limited to, participation in the Activity.
Initial *
ASSUMPTION OF THE RISK
Participation in the Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid associated injuries or loss.  The specific risks vary, but can range from (1) minor injuries (like scratches, bruises and sprains); (2) major injuries (such as injury to the eyes or loss of sight, joint or back injuries, heart attack and concussion); to (3) catastrophic injuries (including paralysis and death).

I have read the previous paragraph, and I know, understand and appreciate these and other risks that are inherent in the Activity.  I hereby assert that my participation in the Activity is voluntary and that I knowingly assume all such risks.

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INDEMNIFICATION
In addition to all of the foregoing, I also agree to indemnify the Laurence School, its officers, employees and/or agents and hold them harmless from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorneys’ fees, brought as a result of my involvement in the Activity, and to reimburse them for any such expenses incurred.
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SEVERABILITY
I further expressly agree that this waiver of liability, assumption of the risk and indemnity agreement is intended to be as broad and inclusive as is permitted by the laws of the State of California, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
Initial *
ACKNOWLEDGMENT OF UNDERSTANDING
I have read this waiver of liability, assumption of the risk and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue.  I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature for it to constitute a complete and unconditional release of all liability to the greatest extent allowed by law.
Initial *
2017 Boutique Sports Camp Signature
Date *
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Parent Signature *
Parent Signature *
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