2025 Release and Indemnification Agreement for Minors

    Student Information
    Birthdate
    Birthdate
    Mailing Address
    Mailing Address
    Description of Trip
    All events pertaining to:
    Medventure For Your Future
    LOCATION: All Campus facilities
    DATE(s): January 31, 2026

    I am the Parent/Guardian of the above-named Participant who is under eighteen years of age and am fully competent to sign this Agreement.

    I give permission for Participant to participate in the above-referenced Activity or Trip. I acknowledge that the nature of the Activity or Trip may expose Participant to hazards or risks that may result in Participant's illness, personal injury or death and I understand and appreciate the nature of such hazards and risks.

    In consideration of Participant being permitted to participate in the Activity or Trip, I hereby accept all risk to Participant's health and of his/her injury or death that may result from such participation and I hereby release the above named Institution, its Regents, governing board, officers, employees, representatives, divisions, and affiliated entities from any and all liability to Participant, Participant's personal representatives, estate, heirs, next of kin, and assigns for any and all claims and causes of action for loss of or damage to Participant's property and for any and all illness or injury to Participant's person, including his/her death, that may result from or occur during Participant's participation in the Activity or Trip, whether caused by negligence of the Institution, its Regents, governing board, officers, employees, representatives, divisions or affiliated entities, or otherwise. I further agree to indemnify and hold harmless the Institution and its Regents, governing board, officers, employees, representatives, divisions, and affiliated entities from liability for the injury or death of any person(s) and damage to property that may result from Participant's negligent or intentional act or omission while participating in the described Activity or Trip.

    Please acknowledge below:

     

    Please acknowledge below:

     
    Date Signed
    Date Signed