Registration Waiver

  WAIVER: Lock Haven University Camps/Clinics Parental Authorization and Release

Liability Release: I, the undersigned, individually and as a parent/guardian of the child named on this form, a minor, ask that he/she be admitted to participate in the camp/clinic sponsored by Lock Haven University. I do hereby agree to release, discharge and hold harmless Lock Haven University, Lock Haven University Foundation, their owners, agents and employees of and from all causes, liabilities, damages, claims or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor’s attendance at the camp/clinic or in the course of competition and-or activities held in connection with the camp/clinic. The supplied health history is correct as far as I know, and the person herein described has permission to engage in all prescribed camp/clinic activities. I give full permission to the camp/clinic to medically treat my child. In the event I cannot be reached in an EMERGENCY, I hereby give permission to the camp/clinic medical personnel to administer medication. I also give permission to the physician selected by the camp/clinic director to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child as named above. Overnight Permission The undersigned parent/guardian agrees to give my permission for the child named on this form to stay overnight at Lock Haven University in the student residence hall under the supervision of LHU camp/clinic staff. (For overnight camp/clinics only.) Photo Release Form The undersigned parent/guardian agrees to give permission to Lock Haven University to use photographs of the child named on this form for the purpose of publicizing the University in either general University promotions, which could include the University Web site; publications which include the print admissions package, brochures, magazines, video, television, newspaper, newsletters, and/or publications that may act as fundraising ventures for University clubs/organizations. The photo will most likely not contain a caption identifying any individuals, although one may occasionally accompany the picture.

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.
Accept Waiver (required) Decline Waiver
(required) Division ( Age Effective Date: 10/20/2024 )