parental permission & release


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Appalachian State University Department of Athletics ASU Box 32024 Boone, NC 28608

PARENTAL PERMISSION & RELEASE: I _______________________________, as parent/legal guardian of ________________________________ (child/participants name) assume all risk of personal injury, including death and damage to such participation sustained during the Equip Football Games to be held at Kidd Brewer Stadium during the months of September and October 2016, and release Appalachian State University from any and all liability for any injury, death or damages, suffered by the participant during the duration of the event. I do hereby waive, release, absolve, indemnify and agree to hold harmless, Appalachian State Athletics Department, and any other University department its directors, officers, employees and other released parties harmless from and against any and all actions, suits, claims, demands, causes of action, proceedings, losses, costs, expenses including, without limitation, all attorney fees and disbursements, damages, liability and fines or penalties, in any way arising out of, or relating to, connected with directly or indirectly, the use of Kidd Brewer Stadium regardless of any claim arising out of any loss or injury that the participant might sustain while engaged in this program. I Understand that Appalachian State does not not provide insurance and is not responsible for the medical condition of the participant. Participant Name: ________________________________________________ Parent/Guardian: _________________________________________________ Signature: __________________________________ Date: ________________