By my/our submission of this document, I/we agree to release, defend and indemnify from any types of damages to persons or property arising from or related to the negligent and/or intentional acts and/or omissions of my child, {name}, a camper at the De La Salle High School summer and/or arising from or related to the negligent and/or intentional acts and/or omissions of third parties, but excluding the negligent and/or intentional acts and/or omissions of De La Salle High School, its employees or agents.
Medical Authorization
By my/our signature herein, I/we do authorize De La Salle High School, its employees, representatives, or agents to authorize any medical treatment which they, in their sole discretion may deem necessary in regard to my child while he/she attends the De La Salle summer camp: provided, however, that De La Salle shall have attempted to contact me at the telephone numbers set forth below, unless the need for treatment requires immediate treatment such that a prior attempt to contact me/us is not practical.
Photo/Video Image Authorization and Release
By submission of this document. I/we authorize De La Salle High School to use my child's photograph or video image from his/her attendance and/or participation at De La Salle’s summer camp for publicity purposes, and I/we understand there is no remuneration for such use. I/we further agree to defend, indemnify and hold harmless De La Salle High School from any damages to me/us and/our child arising from the foregoing use of my/our child’s photograph or video image for publicity purposes.