General Release, Waiver of Liability,

And Covenant Not to Sue

THIS DOCUMENT IS A RELEASE OF LEGAL RIGHTS. PLEASE READ THIS DOCUMENT CAREFULLY AS IT AFFECTS THE RIGHTS OF YOU AND/OR YOUR CHILD

This is a legally binding Consent Form and Release of Liability made voluntarily by YOU and/or on behalf of YOUR child,  as well as YOU and/or YOUR child’s heirs, executors, administrators, legal representatives and assigns to the Board of Regents of the University System of Georgia by and on behalf of Columbus State University, its affiliated entities, insurers, employees, volunteers, officers, directors, and associates (hereinafter referred to as “Releasees”).

By signing and/or agreeing to the terms of this document, YOU, and/or on behalf of YOUR child, acknowledge:

1. That the activities for which YOU and/or YOUR CHILD are voluntarily submitting this application to participate in involves an inherent risk of physical injury, and therefore, YOU and/or on behalf of YOUR CHILD, assume all such risks and dangers to which YOU and/or YOUR CHILD may be exposed by participating in such activities;

2. That some of the activities may involve unleveled ground, heat, humidity, rigorous physical activity and contact with allergens, plants and animals;

3. That in consideration of the University allowing YOU to participate in the activity, YOU and/or on behalf of YOUR CHILD, hereby release, hold harmless, and forever discharge the Releasees from any and all claims, demands, rights and causes of action of whatever kind of nature, arising from and by reason of any and all known and unknown, foreseen and unforeseen bodily and personal injuries, damage to property, and the consequence thereof, resulting from participation in the activities;

4. That YOU and/or on behalf of YOUR CHILD further covenant and agree that for the sole consideration stated above YOU and/or YOUR child will not sue the Releasees for any claim for damages arising or growing out of the voluntary participation in such activities;

5. That YOU and/or on behalf of YOUR CHILD certify that YOU and/or YOUR CHILD are in good physical health and physically able to participate in the subject activities and understand and acknowledge that serious accidents sometimes occur during these types of activities, and that some medical conditions may be exacerbated or aggravated. YOU and/or on behalf of YOUR CHILD acknowledge sole responsibility for all medical and other costs arising out of bodily injury or any loss sustained through participation in such activities. In an emergency, YOU and/or on behalf of YOUR CHILD authorize program staff to secure any licensed hospital, physician, ambulance and/or medical personnel for treatment deemed necessary for YOUR care or the care of YOUR CHILD;

6. That YOU and/or on behalf of YOUR CHILD consent to jurisdiction and venue in the state courts in Fulton County, Georgia, and hereby waive any defenses or objections thereto, including defenses based on the doctrine of forum non conveniens if any litigation or other legal proceedings shall arise under or in connection with this agreement.

7. That YOU and/or on behalf of YOUR CHILD have read this agreement, are at least eighteen (18) years old, fully competent to sign, and freely and voluntarily agree to be bound by its terms. It is the further intent of this agreement that it will be binding upon YOU and/or YOUR CHILD’s estate, heirs, administrators, personal representatives, and assigns.

YOU and/or on behalf of YOUR CHILD further acknowledge and agree to the following:

Transporting Students

Transporting of students to various sites may require transportation in CSU vehicles. Transportation may include vehicles such as buses, vans and golf carts.  YOU and/or on behalf of YOUR CHILD understand that these vehicles may not have seat belts and agree that, even if the vehicles have seat belts, Releasees are not responsible for injuries arising out of their use. YOU and/or on behalf of YOUR CHILD further agree that Releasees are not responsible for property that is lost, stolen, or damaged while participating in, or traveling to or from, anything related to the events or activities that YOU and/or YOUR CHILD have voluntarily signed up to participate in.

Responding to Health Emergencies

In an emergency, YOU and/or on behalf of YOUR CHILD acknowledge that YOU are solely responsible for all medical and other costs arising out of bodily injury or any loss sustained through participation in the subject events activities. YOU and/on behalf of YOUR CHILD authorize program staff to secure any licensed hospital, physician, ambulance and/or medical personnel for treatment deemed necessary for YOUR care and/or the care of YOUR child.  

Physical Correction

It is understood that the art of dance and nature of dance instruction is a “hands on” discipline and may sometimes require physical correction during training. YOU and/or on behalf of YOUR CHILD give permission to the staff and faculty of CSU Dance Conservatory.

Use of Photographs

CSU routinely produces materials to illustrate, explain, and market its program and activities for purposes of volunteer and participant recruitment, fund-raising, enhancing community awareness, news releases, brochures, reports, etc. In support of this effort, certain university-sponsored activities are documented via photographs and/or videos. By signing this waiver, YOU and/or YOUR CHILD give CSU permission to use YOUR image and/or the image of YOUR CHILD as part of these materials. If you do not consent to the use of YOUR image and/or the image of YOUR CHILD, but still want to sign up and participate in the events and activities, you MUST contact Brooke Daniel at daniel_brooke@columbusstate.edu and specifically inform her of your refusal to consent to the use of YOUR image and/or the image of YOUR CHILD.
 

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