Summary: Carnegie Mellon University
ASSUMPTION OF RISK & GENERAL RELEASE
I want my child to participate in the Carnegie Mellon 2011 ___________ Camp ("Camp"). My child has been
examined by a physician and determined to be able to participate in Camp activities. I understand that Camp
activities are physically strenuous and that there are hazards and risks, as well as benefits, associated with
participation in the Camp. I voluntarily assume all the hazards and risks on behalf of my child. In consideration of
the benefits, I, on behalf of myself, my child, and those acting on our behalf, irrevocably and unconditionally
release, waive, and promise not to sue Carnegie Mellon and those acting on its behalf, from/for any and all
liabilities, losses, injuries, damages, claims, actions and causes of action arising from or connected with his/her
participation in the Camp including but not limited to, transportation, and the securing of medical treatment. I
give Carnegie Mellon permission to provide/secure medical treatment for my child in a situation requiring
medical treatment in Carnegie Mellon's judgment.
I grant Carnegie Mellon (and/or those acting on its behalf) permission to photograph, videotape, or record my
child's image, voice and/or name in connection with the Program and to use the resulting materials in university
or other publications, web sites, CDs, DVDs and/or other media, for educational and promotional purposes. I
hereby waive and release any rights that I or s/he may have in said materials.
The laws of Pennsylvania shall apply to this release. If any of its provisions are declared illegal, unenforceable, or
ineffective, they shall be deemed severable, and all other provisions shall remain valid and binding. I'm an adult
(18 years old or older), competent to sign this release. I've read it, understand its contents, and intend to be legally
bound by it.