Behavior expectations of the participant:
It is important to follow the instruction of the Iowa Lakes All-State Camp staff personnel at all times. You must abide by the College's rules and conduct expectations. I understand that as a student, I have the responsibilty to help make the learning opportunity a safe experience for everyone through my experience for everyone through my behavior and conduct. I also understand the danger of not following rules and instructions and agree to following them.
Image/Voice Permission:
During activities, a photograph or video/audio recording(s) may be taken. Unless you request otherwise, your signature below will be considered permission for Iowa Lales to photograph, fillm, audio/video tape, and/or record your image or voice for use in any promotional materials. If you object to you image or voice being used, please notify bfuelberth@iowalakes.edu prior to participating.
Assumption of rishke and release of liability:
I, as the parent or legal guardian of the student attending this camp, grant permission for my student to participate in the Iowa Lakes All-State Cmapl. This Participation Agreement, Parental Permission Agreement, Assumption of Rish, Release of Liability and Emergency Medical Information must be read carefully and signed by the participant and the parent or legal guardian of each student under 18 years of age who will particapte. These activities may involve certain risks and possible injury, and that Iowa Lakes Community College will provide each participant with reasonable care, but cannot guarnetee they will remain free of injury. I nonetheless wish to participate and ASSUME the risk of particpating. I agree to RELEASE from LIABILITY, INDEMNIFY and HOLD HARMLESS Iowa Lakes Community College and high school directors, students, employees, and agents from any claim and cause of action arising out of and related to any injury, loss, penalties, damage, settlement, costs or other expenses or liabilities that occur as a result of my participation in the Iowa Lakes All-State Camp. This release, however, is not intended to release the RELEASEES mentioned above from liability arising out of their sole negligence.
Medical Emergency Permssion
I understand that I must be healthy and reasonably fit in order to participate in the Iowa Lakes All-State Camp safely. I will inform the directors of any medication, ailment, condition, or injury that may affect my ability to participate safely. The health history stated above is correct and complete to my knowledge. If an injury or other medical condition occurs or arises, I hereby give permission to the directors in charge to provide routine first aid and seek emergency treatment including X-rays or routine tests. I agree to the release of any record necessary for treatment, referral, billing or insurance purposes. I understand that I am financially responsible for charges and hereby guarantee full payment to the attending physicians or health care unit. In the event of an emergency where the emergency contact listed above cannot be reached, I give permission to the physician/hospital to secure and administer treatment for me, including hospitalization.