I am the Parent/Guardian of the above named Participant who is under eighteen years of age and I am fully competent to sign this Agreement. I give permission for Participant in the above-referenced Activity. I acknowledge that the nature of the activity may expose Participant to hazards or risks that may result in Participant’s illness, personal injury or death and I understand and appreciate that nature of such hazards and risks.

In consideration of Participant being permitted in the Activity, I thereby accept all risk to Participant’s health and of his/her injury or death that may result from such participation and I hereby release the above named Institution, its governing board, officers, employees and representatives from any and all liability to Participant, Participant’s personal representatives, estate, heirs, next of kin, and assigns for any and all claims and causes of action for loss of or damage to Participant’s property and for any and all illness or injury to Participant’s person, including his/her death, that may result or occur during Participant’s participation in the Activity, whether caused by negligence of the Institution, its governing board, officers, employees, and representatives or otherwise. I further agree to indemnify and hold harmless the Institution and its governing board, officers, employees, and representatives from liability for the injury or death of and person(s) and damage to property that may result from Participant’s negligent or intentional act or emission while participating in the described Activity.