NYU & CMSV Summer Wrestling Camp
PARENT CONSENT, WAIVER AND RELEASE In consideration of the NYU/MSV Wrestling Camp acceptance of my child / guardian as a participant in the camp for the period of June 29, 2017 to July 3, 2017, and in return for the opportunity to participate in this camp: It is agreed that all risks attendant to watching and/or participating in camp activities, including, but not limited to bodily injury, are assumed by the participant and his/her parents and/or legal guardian and that this assumption is acknowledged, approved, and agreed to by said participant and his/her parents and/or legal guardian as indicated by the acknowledgement hereto. All campers will be required to have a valid and current USAW athlete card which will provide secondary medical insurance. All campers will therefore have USAW`s insurance that will cover most injuries/accidents occurring during camp (subject to policy terms, conditions and limits) but only as secondary coverage after parents/guardians insurance has paid. I hereby certify that the above named participant is physically able to participate in NYU/MSV Wrestling Camp and that I know of no physical impairments which would in any manner limit his/her participation in such a program. I hereby grant permission for physicians, dentists, other licensed health care providers and their designees employed or directed by the NYU/MSV staff to administer outpatient medical, surgical, or dental services as appropriate or necessary antigens or other injections, to perform emergency procedures as necessary or to refer to other duly licensed medical personnel when necessary. In consideration for honoring the participants request to participate in the above activity, I, for myself, my executors, administrators, and assigns, do hereby release and forever discharge the NYU/MSV Wrestling camp, New York University, the College or Mount Saint Vincent, their Boards of Trustees, its respective entities, administrators, faculty members, employees, agents, and students from any claims that I might have myself or could bring on the participants behalf with regard to damages, demands, or any actions whatsoever, including those based on negligence or failure to supervise, in any manner arising out of the participants participation in this activity. I also hereby agree to save, hold harmless, and indemnify the NYU/MSV Wrestling Camp, New York University, College of Mount Saint Vincent, its Boards of Trustees, and/or its respective entities, administrators, faculty members, employees, agents, and students against any and all claims, including claims of negligence or failure to supervise, which the participant might bring against them as a result of his or her participation in the above activity. I recognize that this Release means that I am giving up, among other things, rights to sue the Colleges or its Boards of Trustees, its respective entities, administrators, faculty members, employees, agents or students for injuries, damages or losses that my child may incur.
I understand that there are no refunds that are not approved and requested by the tournament director and by accepting this waiver I understand that my knowledge of this policy will be used on behalf of the tournament if I request a chargeback from my credit card company.”
Division ( Do you have a USA Wrestling ID Number?
Registration Cost with ID = $273.30
Registration Cost with no ID = $283.30 )