Spring Break Camp 2012

Page 1

Acknowledgment of risk and assumption of personal responsibility: I understand that during my participation in Maple Leafs Sports Camp I will be exposed to above-normal risk. I understand, too, that although Goshen College and sports camp personnel will take precautions to provide a safe environment, it is impossible to guarantee absolute safety. Also, I understand that I share responsibility for safety in the camp setting, and I assume that responsibility. I agree to verify with my physician that I have no physical or psychological problem that would prohibit participation in Maple Leafs Sports Camp. I agree to comply with the instructions and directions of all camp directors and supervisors. In the event of a medical emergency in which I cannot be reached, I authorize Goshen College and camp personnel to make appropriate medical decisions to ensure the best medical outcome for my child.

MAPLE LEAFS

SPRING BREAK

I have read the above statement and understand the nature of the physical demands of this activity. I therefore release any and all rights or claims for damages against Goshen College and camp personnel.

SPORTS CAMP

Parent/guardian signature:

___________________________ Print Name

____________________________ Signature

___________________________ Date

April 2-5, 2012 FOR MORE INFORMATION CONTACT: Goshen College Athletics 1700 S. Main St. Goshen, IN 574-535-7491 tdemant@goshen.edu

at GOSHEN COLLEGE


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