It is agreed that all risks attendant to watching and/or participating in clinic activities, including, but not limited to bodily injury, are assumed by the student and his or her parents and/or legal guardian and that this assumption is acknowledged, approved, and agreed to by said student and his parents and/or legal guardian as indicated by the signature hereto. 

I hereby certify that the above named camper is physically able to participate in the Winter Dance Clinic, and that I know of no physical impairments which would in any manner limit his participation in such a program.

In consideration for honoring my child’s request to participate in the above activity, I, for myself, my executors, administrators, and assigns, do hereby release and forever discharge Sallie Byrd, RHHS, HCPSS, employees, agents, and students from any claims that I might have myself or could bring on my child’s behalf with regard to damages, demands, or any actions whatsoever, including those based on negligence or failure to supervise, in any manner arising out of my child’s participation in this activity. I also hereby agree to save, hold harmless, and indemnify Sallie Byrd, RHHS, HCPSS, employees, agents, and students against any and all claims of negligence or failure to supervise, which my child might bring against them as a result of his participation in the above activity.

I recognize that this Release means that I am giving up, among other things, rights to sue Sallie Byrd, RHHS, HCPSS, employees, agents, and students for injuries, damages or losses that my child may incur.