SHS Release

To participate in robotics at Summit High School, each student must complete this release of liability.

RELEASE OF LIABILITY FOR MINOR PARTICIPANTS

READ BEFORE SIGNING

I, the Parent/Guardian, of ___________________________________ (My Child/Ward)

IN CONSIDERATION OF My Child/Ward being allowed to participate in any way in the

Summit High School Robotics (the “Program”) events and activities, including practices,

events, and travel, occurring during and off-season, including but in no way limited to

the Kendall Soap Box Derby, the undersigned acknowledges, appreciates, and agrees

that:

The risks of injury and illness (including bodily injury and disease) to my child from the

activities involved in the Program are significant, including the potential for permanent

disability and death, and while particular rules, equipment, and personal discipline may

reduce these risks, the risks of serious injury and illness do exist; and,

I understand that the coaches, mentors, and volunteers cannot maintain constant

supervision over My Child/Ward, and that accidents are an inherent risk in connection

with the Program which involves the use of dangerous tools, powerful machinery, and

the potential for unpredictable behavior on the part of other minor children.

If My Child/Ward is incapable of safely engaging in unsupervised activity, then I agree to

either attend and supervise My Child/Ward during all meetings and events, or I will

prevent My Child/Ward from participating in any activities without my direct supervision.

FOR MYSELF, SPOUSE, AND CHILD/WARD, I KNOWINGLY AND FREELY ASSUME

ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE

NEGLIGENCE OF THE RELEASES or others including but not limited to coaches,

mentors, and volunteers, and assume full responsibility for My Child/Ward’s

participation; and,

I willingly agree to comply with, and to compel My Child/Ward to comply with, the

Program’s current and customary rules, terms, and conditions for participation. If I

observe any unusual significant concern in My Child/Ward’s readiness for participation

and/or in the Program itself, I will remove My Child/Ward from the participation and

bring such attention of the nearest coach or mentor immediately; and,

I myself, my spouse, My Child/Ward, and on behalf of my/our heirs, assigns, personal

representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Summit

High School Robotics; its directors, officers, officials, agents, coaches, employees,

mentors volunteers, other participants, sponsoring agencies, sponsors, advertisers, and

if applicable, owners and lessors of premises used to conduct the event (“Releasees”),

WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss

or damage to person or property incident to My Child/Ward’s involvement or

participation in the Program, WHETHER ARISING FROM THE NEGLIGENCE OF THE

RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

RELEASE OF LIABILITY FOR MINOR PARTICIPANTS

I, for myself, my spouse, My Child/Ward, and on behalf of my/our heirs, assigns,

personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD

HARMLESS all the above Releasees from any and all liabilities incident to my

involvement or participation in these programs, EVEN IF ARISING FROM THEIR

NEGLIGENCE, to the fullest extent permitted by law.

I, the Parent/Guardian, hereby represent that I have full authority to sign this Waiver on

behalf of My Child/Ward, and that I have explained to My Child/Ward: the risks of the

activity, his/her/their responsibilities for adhering to the rules and regulations, and that

My Child/Ward understands this agreement.

I, FOR MYSELF, MY SPOUSE, AND MY CHILD/WARD, HAVE READ THIS

RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY

UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP

SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND

VOLUNTARILY WITHOUT ANY INDUCEMENT.

 PLEASE READ THE ENTIRE AGREEMENT BEFORE SIGNING.