University of the Incarnate Word

Waiver of Liability, Indemnity and Assumption of Risk

I give permission for my child to participate in this camp at facilities owned and/or operated by University of the Incarnate Word (UIW I acknowledge and accept that the camp may expose my child to hazards and risks, including injury or death, and that UIW cannot control these risks. I acknowledge there may be physically strenuous activities and certify that my child is fit and capable of such participation. I understand that UIW is not responsible for any medical expenses associated with any personal injury my child may sustain and understand that UIW does not provide medical insurance for me and my child. I certify that my child is covered by adequate insurance to cover any personal injury which he may sustain while participating in this camp.

In consideration of UIW providing the opportunity for my child to participate in this camp, I release UIW, its Board of Trustees, officers, employees, and representatives from any and all liability to me and my child, our personal representatives, estate, heirs, and assigns for any and all claims, demands and causes of action for any and all illness or injury to my child, including death arising out of, during or in any way connected with this camp. I agree to indemnify and hold harmless, waive and covenant not to sue UIW, its Board of Trustees, officers, employees, and representatives from liability for the injury or death of any person(s) or damage to property that may result from my child's negligent or intentional act or omission while participating in the camp.

I hereby authorize the staff of this camp to act for me according to their best judgment in any emergency requiring medical attention. I authorize and give consent for UIW to administer general first aid for any minor injuries or illnesses experienced by my child. If my child is in need of emergency medical care and UIW is not able to reach me or the emergency contact, I authorize UIW to sign all necessary papers and arrange for emergency treatment and hospital care.

Likeness and Image Release

The undersigned hereby irrevocably consents to and authorizes the use by University of the Incarnate Word, its officers and employees, ("University") of the undersigned's image, voice and/or likeness as follows: The University shall have the right to photograph, publish, re-publish, adapt, exhibit, perform, reproduce, edit, modify, make derivative works, distribute, display or otherwise use or reuse the undersigned's image, voice and/or likeness in connection with any product or service in all markets, media or technology now known or hereafter developed in University's products or services, as long as there is no intent to use the image, voice and/or likeness in a disparaging manner. University may exercise any of these rights itself or through any successors, transferees, licensees, distributors or other parties, commercial or nonprofit.

This Agreement shall be governed by and interpreted in accordance with the laws of the State of Texas.

I am a parent/guardian of the minor and sign this Waiver and Release on my and my child's behalf.