Informed Consent and Acknowledgement
RELEASE: In consideration of being allowed to participate in any wayin the Miami Diving Camp or lessons program, the undersigned:
In the event of injury to or illness of our son/daughter/ward, Camper(s) Name above, born on this date:DOB above, I (we) hereby authorize Miami Diving, the University of Miami, or representatives thereof, to admit the above named individual to a facility for emergency medical treatment as may be deemed necessary to his or her health welfare. It is the responsibility of the parent/guardian to inform the camp in writing of any changes. The undersigned hereby consents to whatever medical treatment is deemed necessary. The undersigned on his or her behalf of the individual named above, their heirs, assigns and personal representatives, hereby release the University of Miami, its trustees, officers, faculty, and employees from any and all claims arising out of the admission to, or treatment administered by, such facility.
ASSUMPTION OF RISK AND RELEASE: The undersigned hereby acknowledges and agrees that participation in the camp and related activities carries with it an inherent risk of physical injury. In consideration of the registrant’s participation in the camp, the undersigned, on behalf of the registrant, hereby assumes all such risks of physical injury and does hereby release and forever discharge Miami Diving, the University of Miami, its trustees, employees and agents from any and all liability, claim, or loss arising from bodily injuries or damage to personal property resulting from the registrant’s involvement and/or participation in the camp.
I hereby authorize Miami Diving, the University of Miami and the members of its staff to take such photographs, for websites,television recordings and/or live television transmission of the registrant in whole, or in part, as they or members of the staff may wish, and to use and publish the same in such places and publications as the University of Miami or its staff in its sole discretion consider to be of benefit to said University. I hereby waive any rights that I may have to inspect and/or approve the finished product that may be used here under or the specific use to which it may be applied.
The undersigned hereby acknowledges that he/she is the legal guardian of the camp registrant and has read and agrees with the Consent to Medical and/or Surgical Treatment, Assumption of Risk and Release and Photographic Release stated above. This release is valid for any weeks of camp.
The parent(s)/legal guardian(s) represent that the participant(s) has medical insurance coverage through the follwing name insurance provider. This consent is granted for the period of the camp.