The Trustees of Amherst College is a non-profit educational institution. References to Amherst College include The Trustees of Amherst College, its trustees, officers, employees, volunteer workers, agents and assigns, students and all other program participants.

I (parent) freely choose to and request that my child participate in the SAAC Sportsmanship Clinic and related activities (henceforth referred to as the Clinic) at Amherst College on Friday, February 6th, 2009.

Acknowledgement and Assumption of Risk
I HEREBY ACKNOWLEDGE AND AGREE that participation in the Program has inherent risks.

Activities may include running, jumping, using racquets, sticks, and balls for games, using changing facilities or other campus facilities.

Despite precautions, accidents and injuries can occur. I understand that participation in the Clinic is potentially dangerous, and that I/my child may be injured and/or lose or damage personal property as a result of participation in the Clinic. I have full knowledge of the nature and extent of all the risks associated with the Clinic, and the use of all associated equipment, facilities, and services. I accept the condition of the facilities and equipment as they may now or hereafter exist, therefore, I ASSUME ALL RISKS RELATED TO THE ACTIVITIES including but not limited to:
               
Death, injury, or illness from accidents of any nature whatsoever, including but not limited to personal or bodily or mental injury of any nature whether severe or not, permanent or not, including but not limited to head or joint trauma, broken bones, oral, eye or other facial injury, other muscular-skeletal or internal or nervous system injury, including drowning, death, stress or other trauma which may occur as a result of participating in an activity or contact with equipment, materials, physical surroundings or other persons, failure or defect of equipment, actions of other persons or failure to act whether negligent or not, or dangerous physical surroundings.
Theft or loss of my/my child’s personal property while in transit or at the College or participating in the Program.
Natural disaster or other disturbances, and alteration or cancellation of the Program due to such causes.

I further acknowledge that the above list is not inclusive of all possible risks associated with the Clinic or the use of facilities, equipment, or services in association with the Clinic, and that the above list in no way limits the extent or reach of this release. I further understand that participating in the Program is an acceptance risk of injury.

Release from Liability
In consideration of my/my child’s participation in the Clinic, I, to the fullest extent permitted by law, agree to forever release and on behalf of myself, my spouse, my child, heirs, representatives, executors, administrators and assigns, HEREBY DO FOREVER RELEASE Amherst College from any cause of action, claims, or demands, of any nature whatsoever including but not limited to a claim of negligence which I or my spouse, child, heirs, representatives, executors, administrators and assigns may now have, or have in the future against Amherst College on account of personal injury, bodily injury, property damage, death or accident of any kind, arising out of or in any way related to my/my child’s participation in the Clinic and/or the use of facilities, equipment, or services in association with the Clinic howsoever the injury is caused, whether by the negligence of Amherst College or otherwise.
I hereby certify that I have full knowledge of the nature and extent of the risks inherent in the Clinic and the use of facilities, equipment, or services in association with the Program and the use of facilities, equipment, or services in association with Clinic, and that I am voluntarily assuming all risks, whether known or unknown.
I understand that I will be solely financially and otherwise responsible for any loss or damage, including death, which I/my child sustain, whether in whole or in part, while participating in the Clinic and my/my child’s use of facilities, equipment, or services in association with the Clinic, and that by this agreement I am relieving Amherst College of any and all financial or other liability for such loss, damage or death. 
I further certify that I am legally competent to sign this agreement. I further understand that the terms of this agreement are legally binding and I certify that I am signing this agreement after having carefully read and understood the same, of my own free will. This agreement is made in sole consideration of Amherst College permitting my/my child’s participation in the Program and my/my child’s use of facilities, equipment, or services in association with the Program.

This agreement shall be construed and enforced in accordance with the laws of the Commonwealth of Massachusetts, and I consent to the jurisdiction of said state. I expressly agree that this waiver and release is intended to be as broad and inclusive as permitted under the laws of the Commonwealth of Massachusetts, that if any portion hereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. IN WITNESS WHEREOF, this instrument is duly executed at _______________, Massachusetts, this day of __________ ____, 20__.

IMPORTANT – READ ENTIRE AGREEMENT BEFORE SIGNING

Child’s Name (s) Printed: _____________________________
Parent Signature: ____________________________________
Name Printed: _______________________________________
Tel. No.: ___________________________________________
Witness Signature: ____________________________________
Name Printed: _______________________________________

Signatures need not be notarized but must be witnessed.