AGREEMENT TO INDEMNIFY AND WAIVER OF LIABILITY 2024
All participants must complete this form by May 10th, 2024
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Email *
The undersigned *
(type name of parent/guardian)
(hereinafter “Parent/Guardian”) desires for   *
(type name of student)
(hereinafter “Student”) to participate in and attend the 2024 Premier Orchestral Institute Summer Camp (hereinafter “POI”) as a Student. POI is sponsored by the Mississippi Symphony Orchestra Association (hereinafter “MSOA”) which is held at Millsaps College in Jackson, MS. As consideration for the privilege of Student to attend POI, Parent/Guardian, does hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the MSOA and/or Millsaps College , its officers, directors, agents, staff and employees from any and all demands, claims, actions, suits, damages, losses, liabilities, costs, and expenses of Parent/Guardian, Student or any of us, arising, directly or indirectly, in connection with the POI from any cause whatsoever including, but not limited to, damage or loss of property, bodily injuries, medical treatment, or death, sustained by Parent/Guardian, Student or any persons at POI, whether or not foreseeable or contributed to by the negligent acts or omissions of the MSOA and/or Millsaps College  or others. Parent/Guardian, Student or any of us further agrees to INDEMNIFY AND HOLD HARMLESS and further agrees to PAY FOR AND REIMBURSE the MSOA and/or Millsaps College , its officers, directors, agents, staff and employees for and from any and all demands, claims, actions, suits, damages, losses, liabilities, costs, expenses, and legal expenses arising, directly or indirectly, as a result of the intentional or negligent acts or omissions of any person attending POI including, but not limited to, damage or loss of property, bodily injuries, medical treatment, or death, sustained by Parent/Guardian, Student or any persons at POI, whether or not foreseeable or contributed to by the negligent acts or omissions of the MSOA and/or Millsaps College  or others. Parent/Guardian warrants that he/she (i) has read and fully understands this Agreement to Indemnify and Waiver of Liability, (ii) intends that this Agreement to Indemnify and Waiver of Liability be legally binding upon and enforceable against Parent/Guardian of the Student, Student and any and all of their family members, estate, heirs, Guardians, legal representatives, successors, and assigns, (iii) intends that this Agreement to Indemnify and Waiver of Liability inure to the benefit of the MSOA and/or  JSU , and (iv) is of legal age, fully competent, possessing the legal authority to sign this Agreement to Indemnify and Waiver of Liability for themselves and the named Student and that they are entering into this Agreement to Indemnify and Waiver of Liability voluntarily of their own judgment. SIGNED: *
*(Type your full name. This is a legal document and typing your full name below constitutes your digital signature.)
Date *
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Full name of student *
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