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Participant First Name*

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I agree to the terms listed below*

I hereby authorize the employees of San Jose State Spartan Football Camps to act on my behalf according to their best judgment in any emergency requiring medical attention. I hereby waive and release San Jose State University, its employees and representatives from any liability for any injuries or acts of negligence at camp.

I hereby waive and release San Jose State University, its employees and representatives from any liability for any injuries or acts of negligence at camp.

In consideration for being allowed to participate in this Camp, on behalf of myself and my next of kin, heirs and representatives, I release from all liability and promise not to sue the State of California, the Trustees of The California State University, California State University, San Jose State University and their employees, officers, directors, volunteers

and agents (collectively "University") from any and all claims, including claims of the University's negligence, resulting in any physical or psychological injury (including paralysis and death), illness, damages, or economic or emotional loss I may suffer because of niy participation in this Camp, including travel to, from and during the Camp.

I am voluntarily participating in this Camp. I am aware of the risks associated with traveling to/from and participating in this Camp, which include but are not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and/or death.

I understand that these injuries or outcomes may arise from my own or other's actions, inaction, or negligence; conditions related to travel; or the condition of the Camp location(s). Nonetheless, I assume all related risks, both known or unknown to me, of my participation in this Activity, including travel to, from and during the Activity.

I agree to hold the University harmless from any and all claims, including attorney's fees or damage to my personal property, that may occur as a result of my participation in this Activity, including travel to, from and during the Activity.

If the University incurs any of these types of expenses, I agree to reimburse the University. If I need medical treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.

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Parent or Guardian Name*

Today's Date (MM/DD/YYYY)*