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INDEMNIFICATION AND MEDICAL INFORMATION
The undersigned parent/legal guardian of the applicant, for and in further consideration of the Lamar Women's Volleyball Camps accepting said applicant, does hereby release and discharge the Curators of Lamar University and its' representatives, employees, and agents from any and all debts, claims, demands, actions, damages, cause of action, judgments, of any kind which may arise or be occasioned as a result of the applicants participation in the Lamar Women's Volleyball Camps and hereby, agree to have and indemnify and keep harmless the Curators of Lamar University and its' representatives, employees, agents against any and all liability, claims, judgments, or demands for damages arising as a result of any course instruction given the applicant by Lamar Women's Volleyball Camps. I, being the parent/guardian of the applicant authorize Lamar University and its' agents permission to request emergency treatment or care as necessary to insure the well-being of our dependent. Further, I claim the registrant has had a physical examination in the past year and was found fit for all physical endeavors. __________________________________________________ Parent/Legal Guardian signature Date In case of emergency situation please have a copy or picture of participant's insurance card. |