In consideration of Indiana University's services rendered, and services to be rendered in organizing and managing the 2006 National Science Olympiad Tournament (NSO) at Indiana University Bloomington from May 17-20, 2006, and in consideration of the Child's participation in the NSO Tournament, Child and Parent/Guardian, acting for the Child, hereby:
State that they understand that certain risks are inherent in travel and that they fully accept those risks. Those risks may include, but are not limited to, such things as incidents related to transportation, adverse weather conditions, and other physical, mental, and emotional injury.
State that they understand that the NSO Administration, and some of the Supervisors and Volunteers, are not agents or employees of Indiana University.
State that they fully understand the risks and the scope of the activities involved in the NSO Tournament; agree that the Child will abide by the NSO Tournament rules and regulations; and agree to assume the risks of the Child's participation in the NSO Tournament, including the risk of catastrophic injury or death.
Release and fully discharge Indiana University from all liability in connection with the Childs participation in the NSO Tournament, for or on account of any illness of or injury to the person or death, or for account of any loss or damage to personal property. Agree and understand that any medical expenses that might incurred due to my Child's involvement in this activity will be my responsibility. Further, I agree to hold the Board of Trustees of Indiana University and any of its employees harmless from any and all liability which could result from this activity.
DATE:____________________
PARTICIPANT SIGNATURE :__________________________________________________
PARTICIPANT NAME (PRINT): ______________________________________________
ADDRESS: __________________________________________________________
PHONE: _____________________________________________
If participant is under 18 years old, then his/her parents or guardian
must sign below:
PARENT/GUARDIAN SIGNATURE: ___________________________________________
PARENT/GUARDIAN NAME (PRINT): _________________________________________