Southeastern Illinois College
Career Exploration Camps
Medical Release/Waiver Form
Being the parent or legal guardian of the child listed below,
I hereby give my permission for the student named above to participate in the event known as the “Career Exploration Camps” and hereby voluntarily RELEASE AND FOREVER DISCHARGE AND HOLD HARMLESS Southeastern Illinois College, its instructors, volunteers and/or sponsors of the event against any and all claims, demands, damages, expenses, causes of action or liability of any kind whatsoever, that said child, his/her next of kin, heirs, guardians, representatives or assigns, may have for personal injury, bodily injury, or property damage arising from participation in and/or observation of activities of the event. It is my intent that no claim of any person or entity through my child, me or my guests, or any claims of any person or entity against me or my guests shall ever cause Southeastern Illinois College, its instructors, volunteers and/or sponsors of the event to incur any expense of any kind whatsoever.
Photograph/Media Release: All college activities may be recorded & video recorded for college purposes. Entry into campus grounds & buildings constitutes consent to be photographed or videotaped for college purposes.
I also specifically assume all responsibility to insure that only properly authorized adults will drop off, accompany and/or pick up the child listed above at the time(s) and place(s) provided by the event officials.