Release and Waiver Agreement for Minors
The undersigned, in consideration of the benefit of participation in __________________________________
(activity) with Durham Technical Community College’s (club/class) does hereby knowingly and voluntarily
release and forever discharge Durham Technical Community College, its affiliates and predecessor companies
(if any), and each and all of its officers, agents, directors, supervisors, employees, representatives and all of
their successor and assigns, and all persons acting by, through, under, or in concert with any of them from and
all actions, charges, complaints, claims, and grievances, and liabilities of any kind and nature whatsoever,
whether actual or potential, known or unknown, suspected or unsuspected, which the undersigned at any time
may claim related to the undersigned’s participation in ____________________________________ (activity)
commencing on _______________ (date) and ending on ________________________ (date) or this release
and waiver covers all related activities associated with ____________________________________________
(activity) for the academic semester commencing on ___________________________ (date) and ending on
_________________________ (date).
I have read and understand all the terms and conditions hereof. I sign this document freely and willingly.
Printed Name of Parent or Guardian _______________________________________
Signature of Parent or Guardian _____________________________________ Date ______________
Printed Name of Minor Participant _________________________________________
Signature of Minor Participant _____________________________________ Date ______________
Revised 10/3/2019
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