General Release for Science Summer Institute

As the parent(s) or guardian(s) of this minor child (“Participant”), with full authority, herein give this legally-binding General Release, Indemnification, Waiver, Assumption of Risk and Covenant Not to Sue (“Release”) to Palm Beach Atlantic University, Inc. (“PBA”), individually and on behalf of Participant. (If the Participant has more than one parent or guardian, then both parents or guardians of the Participant must sign this document.)

In consideration of Participant being permitted to participate in the educational exercises and experiments associated with Science Summer Institute activities hosted at PBA, I, individually and on behalf of Participant, on behalf of my and Participant’s heirs, executors, administrators, and assigns release, waive, forever discharge, and covenant not to sue PBA, its Board of Trustees, officers, agents, faculty, staff, employees, and any students acting as employees (“Releasees”) from and against any and all liability or claims (of any nature) for any harm, injury, damage, claims, demands, actions, causes of action, costs, and expenses of any nature which I or Participant may have or which may hereafter accrue to me or Participant, arising out of or related to any loss, damage, or injury, including but not limited to injury, suffering and death, that may be sustained by Participant or by any property belonging to, or the responsibility of, Participant, whether caused by the negligence, carelessness, mistake or failure to supervise of the Releasees, or otherwise, while Participant is participating in the activity or while in, on, upon, or in transit to or from the campus of PBA.

I understand that there are certain inherent risks associated with the activity that PBA cannot predict, foresee or eliminate regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks include, but are not limited to muscle soreness, sprains, strains, cuts, punctures, abrasions, allergic or adverse reactions, bruises, ligament and/or cartilage damage, orthopedic damage, head, neck or spinal injuries, loss or use of arms and/or legs, eye damage or loss, burns, disfigurement, heart attacks, concussions, paralysis, and death.

I have read the previous paragraph and I know, understand, and appreciate these and other risks that are inherent in the activity. I understand PBA does not require Participant to participate in this activity, but I want Participant to do so, despite the possible dangers and risks and herein grant this Release as a condition of Participant’s participation and agree to assume and take on all participant’s risks and responsibilities in any way associated with this activity.

I, individually and on behalf of Participant, on behalf of my and Participant’s heirs, executors, administrators, and assigns, agree to indemnify and hold harmless PBA, its Board of Trustees, officers, agents, faculty, staff, employees, and any students acting as employees ("Releasees"), from and against any and all liability or claims (of any nature) for any harm, injury, damage, claims, demands, actions, causes of action, costs, and expenses of any nature which I, any other parent or guardian of Participant, or Participant may have or which may hereafter accrue to me, any other parent or guardian of Participant, or Participant, arising out of or related to Participant’s involvement in the activity, or that may result from Participant’s negligent, careless, mistaken, grossly negligent or intentional act or omission while participating in the activity or while in, on, upon, or in transit to or from the campus of PBA.

NOTICE TO MINOR CHILD’S NATURAL GUARDIAN(S)

(Required pursuant to F.S. §744.301(3))

READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY.  YOU ARE AGREEING THAT, EVEN IF PBA USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED.  BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM PBA IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY.  YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM AND PBA HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN.