Consent, Assumption of Risk Statement & Release of Minor Participant

(This form must be mailed or faxed to N.V.A. and cannot be submitted online.)

                I, the parent or legal guardian of   ________________________________________ consent to allow this minor individual to participate in the New Vision Athletics Summer Camp Sports Experience Program with New Vision Athletics, Inc. (“NVA” herein) at Lake Forest College, Lake Forest Country Day School, School District 65 and or at any other location at which NVA may offer it’s camp program.  I have read and understand the Consent, Assumption or Risk & Release Statement, and intend to and by signing bind myself, my spouse, the minor and my and the minors heirs, successors, executors, estate and dependents to the terms hereof.

                I will advise the minor that he or she must inspect the equipment, gym, swimming pool, playing field to be used and if the minor believes anything is unsafe, the minor shall immediately advise the program supervisor present and refuse to participate further.

                I agree that I will advise the minor of all safety procedures in using the equipment, gym, swimming pool and playing fields and will instruct the minor to follow them.

                I will advise the minor to not attempt any skill level training or any other activity of which the minor is not fully capable.   I realize that the study of sports activities requires proper conditioning and training.

                I understand that sports activities are an education system.  I agree that the minor will strictly abide by the training rules of NVA and will follow explicitly, all instructions given by the instructors during the course of the minor’s training.  I will advise the minor to watch out for others in the course of the minor’s training and to follow all rules posted or otherwise explained to him or her.

                I fully understand that:

                A. There are risks and dangers associated with sports activity training, but not limited to bodily injury, communicable diseases, partial or total disability, paralysis and death.  In accordance with the law, NVA does not exclude individuals with medical conditions that do not pose a medically recognized threat to the health or safety of other participants in the normal course of play.  I understand that there are some unavoidable circumstance where these conditions may require special caution on the minor’s part to minimize the danger to the minor or others, and I acknowledge that it is the minor’s responsibility to act accordingly.

                B. There are social and economic losses ands damages which could result from those risks and dangers described above which could be severe;

  C. There are other risks not known or foreseeable at this time that could arise.

                I EXPRESSLY AND VOLUNTARILY ASSUME ALL RISKS TO THE MINOR OF DEATH, ILLNESS OR INJURY SUSTAINED WHILE PARTICIPATING IN OR OBSERVING NVA SPORTS PROGRAMS WHETHER OR NOT CAUSED BY NEGLIGENCE OF THE RELEASED PARTIES DESCRIBED HEREIN.

                I accept and assume all risks and responsibilities for all losses and damages following an injury, illness, disability, paralysis or death, however caused or alleged to be caused, including injuries caused in whole or in part by the negligence of NVA, it’s representatives, agents employees, instructors or participants.

                I release NVA, Lake Forest College, Lake Forest Country Day School, School District 65 and it’s instructors and guest instructors, representatives, agents, employees, and all individuals associated with NVA including all officers, directors, agents and employees of Lake Forest College (herein after referred to as “the Released Parties”) of and from any and all liability, claims, demands or actions whatsoever arising out of any damage, loss, or injury to the minor while participating in NVA Summer Sports Experience Program or any other related activity of NVA, whether such loss, damage or injury results from negligence or otherwise.

                I agree this Release covers each and every time the minor plays or otherwise participates in any activity, listed or unlisted, of NVA at Lake Forest College facilities, Lake Forest Country Day School facilities, School District 65 facilities and any other location sponsored by NVA and it’s agents, representatives or instructors.

                I agree that I will not sue or make claims against the Released Parties as a result of the minor’s participation in the NVA Summer Sports Experience Program or activities at Lake Forest College Facilities, Lake Forest Country Day School Facilities, School District 65 Facilities or any other locations where participation takes place.  I agree to indemnify and hold harmless the Released parties from all claims, judgments and costs including attorney’s fees incurred in connection with and any such action brought as a result of the minor’s participation in any NVA activity.

                In signing this Release, I am stating that I know what I am doing, and that I take responsibility for the minor’s acts, that I have read carefully and understand this Release and fully agree with each statement contained herein and that I am responsible for the minor, I am aware that I may have the Release reviewed by legal counsel.

                If any portion of this Release shall be held to be invalid, illegal or unenforceable to any extent and for any reason by any court of competent jurisdiction, the remainder of this Release shall not be affected thereby and shall be enforceable to the full extent permitted by law.

                I sign this Release on behalf of myself, my spouse, the minor, and my minor’s heirs, successors, executors, estate and dependents.  I hereby acknowledge that I am an adult, 18 years or older.

___________________________________             _________________________________________        ____________
Parent or Guardian’s Name (printed)                                     Parent or Guardian’s Signature                                                               Date

Address of Participant(s): _____________________________________________________________________________________________