GENERAL RELEASE OF LIABILITY - Northwood University Football
Transcription
GENERAL RELEASE OF LIABILITY - Northwood University Football
While enrolled in a sports camp at Northwood University (“Northwood”), my child may engage in sports or other events or contests of an athletic nature that pose a risk of injury to my child. I understand that their participation in the above-mentioned activities may involve risk of severe injury to them, and that no amount of precaution by Northwood can eliminate such risk. Because of this and in consideration of Northwood’s willingness to allow them to participate in such activities, I agree as follows: • They will participate in athletic events in a careful and prudent manner and will attempt whenever possible to minimize the risk of injury to themselves and others. • They agree to exercise a reasonable degree of care to protect the safety of themselves and others while participating in campus activities and sports camps. • I hereby release Northwood, its agents, officers, employees and trustees from liability for any injury to themselves or their property suffered or arising out of an athletic or other event, including such injury to my person or property resulting from any cause other than the gross negligence or intentional misconduct of Northwood, its agents, officers, employees or trustees. I give this waiver and release intending to legally bind myself and my heirs, representatives, successors and assigns. _________________________ _________________________________ Health Insurance Policy Number We agree to the terms of this release. ___________________________________________________________ Signature(s) of Parent(s) or Legal Guardian(s) (Required if the party signing is under the age of 18) Date BUSINESS OFFICE/ FOOTBALL CAMPS 4000 WHITING DRIVE MIDLAND, MI 48640 ___________________________________________________________ Camper Name (Print) N O RT H WO O D U N I V ER S I T Y I have carefully read this release and waiver of liability/consent for medical care. I understand its terms and have signed voluntarily. Northwood University is committed to a policy of nondiscrimination and equal opportunity for all persons regardless of race, gender, color, religion, creed, national origin or ancestry, age, marital status, disability or veteran status. The University is also committed to compliance with all applicable laws regarding nondiscrimination. 2016-7623 2.16 GENERAL RELEASE OF LIABILITY ABOUT THE CAMP This camp focuses on high repetitions and individualized instruction for positions on both offense and defense. The camp will also include a one-onone segment along with speed and agility training. Northwood University’s football staff will teach you proper techniques and strategies needed to excel in football. This camp is a great opportunity for you to work with college coaches in preparation for your upcoming season as well as gain exposure for your recruitment! Open to all positions for players entering 9th through 12th grade. Leonard Haynes - Head Football Coach CAMP DIRECTOR E.J. Arnold - Northwood University 989.837.4107 arnolde@northwood.edu NAME:____________________________________ GRADE AS OF FALL 2016:____________________ PHONE:___________________________________ POSITION:_________________________________ CAMP SCHEDULE SATURDAY, MAY 21: 12-12:50 p.m. 1-2:15 p.m. 2:30-3:45 p.m. 4-5 p.m. 5:30 p.m. Check-in/registration Agility school Defensive instruction Offensive instruction Camp conclusion We look forward to seeing you! GO TIMBERWOLVES REGISTRATION WHAT TO BRING • Football shoes • Helmet LOCATION NORTHWOOD UNIVERSITY 4000 Whiting Drive Midland, MI 48640 SCHOOL:__________________________________ HEAD COACH: _____________________________ PHONE:___________________________________ COST OF CAMP IS $40.00 DEADLINE for pre-registration is MAY 11, 2016 (DO NOT MAIL AFTER MAY 11) After MAY 11, bring registration form and $50.00 to camp Please visit NORTHWOODCAMPS.com for more information and to pay online. Make checks payable & mail to: Northwood University Business Office/Football Camp 4000 Whiting Drive Midland, MI 48640