o be completed by participant's parent or guardian. The parent or guardian must sign in the presence of one (1) witness.
TO THE UNIVERSITY OF SOUTH ALABAMA:
I understand that my son/daughter, , has the opportunity to participate in
USA Student Recreation Center Summer Camps to be held June 7-July 30, 2021 at the University of South Alabama (the
I understand that travel to and from the Camp is my responsibility over which the University has no responsibility or
control. Transportation around campus may be provided by the University for certain camps. In the event of inclement
weather, camp staff may transport my child to an enclosed facility either on or off the University campus. I understand
that participation in the Camp is voluntary, and I am aware of, and agree to abide by, the rules and regulations of the
Camp. I further agree to follow all applicable guidelines regarding Covid-19, including, but not limited to, social
distancing and wearing a mask when possible, and to ensure that my child does the same. I understand that while the
University has taken measures to prevent the spread of illness, including, but not limited to Covid-19, the University
cannot make any guarantees about the possibility of contracting illness during the Camp. I acknowledge that I have had the
opportunity to ask questions to my satisfaction regarding this Camp and associated risks prior to signing this Release from
In consideration of the University permitting my child the opportunity to participate in this Camp, I, in full recognition
and appreciation of any and all risks, hazards, and dangers inherent in participating in this Camp to which my child may
be exposed, do hereby agree to assume all of the risks and responsibilities surrounding my child's participation in this
Camp, specifically including those risks associated with swimming, transportation, and Covid-19. Further, I do for
myself, my heirs and personal representatives, agree to hold harmless and indemnify, release and forever discharge the
University, its trustees, officers, agents, servants and employees from and against any and all claims, demands and actions
or causes of action on account of or resulting from my child’s participation in this Camp. I further understand that the
University, its trustees, officers, agents, servants and employees assume and accept no liability for personal injury or loss
of life or damage to personal property.
I attest and verify that my child has no physical limitations that would prevent safe participation in this Camp and that my
child is up to date on all immunizations required for school entry.
IN WITNESS WHEREOF, I have caused this Release to be executed on this day of , 2021.
Parent/Guardian Signature Witness
I authorize the University of South Alabama to photograph, video, and/or audio tape my child for promotional use
of the University of South Alabama.
I do not authorize the University of South Alabama to photograph, video, and/or audio tape my child for
promotional use of the University of South Alabama.
Signature of Parent/Guardian: Date: ______________
Release from Liability for
This form must be completed and signed to complete a camper’s registration and to be allowed to check in and
participate in camp activities