Mat Town Mistletoe Madness
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 sports camp sponsored by the 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 sport camp or in the course of competition and-or activities held in connection with the sport camp.
The supplied health history is correct as far as I know, and the person herein described has permission to engage in all prescribed camp activities. I give full permission to the camp to medically treat my child. In the event I cannot be reached in an EMERGENCY, I hereby give permission to the camp medical personnel to administer medication. I also give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child as named above.
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 staff.
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.
Participant Code of Conduct
It is expected that all participants in any University or non-University sponsored program, activity, or service will conduct themselves in a polite, respectful manner and will adhere to all University rules as follows.
A. The possession or use of alcohol and other drugs, fireworks, guns and weapons is prohibited.
B. The use of skateboards is prohibited.
C. No violence, including sexual abuse or harassment, will be tolerated.
D. Hazing, bullying, and cyber bullying will not be tolerated.
E. All curfews, if applicable, will be followed.
F. Misuse or damage of University property is prohibited.
G. All minors will be accompanied by another minor at all times. This is the buddy system.
H. Participants in an overnight program are not permitted to be housed in the same room with an adult unless the person is the minor`s parent or legal guardian.
I. Minor participants may only be housed with a participant of the same sex.
J. No minor will be housed in a room alone.
K. Smoking is prohibited in all University buildings.
L. The inappropriate use of cameras, imaging, and digital devices is prohibited including use of such devices in showers, restrooms, or other areas where privacy is expected by participants.
M. Profanity is prohibited.
N. When crossing streets, only cross in the designated crosswalks.
O. Only use the building designated by your program supervisor or staff.
P. If you are hurt or injured, immediately report your injury to the program supervisor or staff
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 ( Age Effective Date Dec. 30 2022 )