ACTIVITY DETAIL FORM. Name of Activity: UR Soccer – Girls Summer ID Clinic 1 Date(s) of Activity: June 27, 2021 Location of Activity: University of Rochester – River Campus Description of Activity: Participation in soccer , which may include training, practices, drills and competitions, some of which may involve bodily contact with others and with equipment. By participating in these activities you may be exposed to several inherent risks, including but not limited to those listed here: Physical injury, including but not limited to broken bones, concussions or other head injuries, organ damage, torn ligaments and tendons, illness, cardiac injury, and even death. These may be accompanied by psychic injury or mental anguish. These risks may result from participation in practices, training drills and competitions, and during travel to and from practices and competitions. In signing this Agreement, I acknowledge that I have read both sides of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age . Name of Participant (printed) Signature of Participant (if over 18) Name of Parent or Legal Guardian (printed) Signature of Parent or Legal Guardian If participant is younger than 18 years If participant is younger than 18 years Phone number where parent/legal guardian Date can be reached in case of emergency. THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98) UR Soccer – Girls Summer ID Clinic 1 Rules and Regulations
ACTIVITY DETAIL FORM. Name of Activity: Tennis Day Camp Date(s) of Activity: July 17-21, July 24-28, 2017 Location of Activity: University of Rochester River Campus Description of Activity: Participation in tennis camp which may include training, practices, drills and competitions, some of which may involve bodily contact with others and with equipment. By participating in these activities you may be exposed to several inherent risks, including but not limited to those listed here: Physical injury, including but not limited to broken bones, concussions or other head injuries, organ damage, xxx ligaments and tendons, cardiac injury, and even death. These may be accompanied by psychic injury or mental anguish. These risks may result from participation in practices, training drills and competitions, and during travel to and from practices and competitions. In signing this Agreement, I acknowledge that I have read both sides of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age . Name of Participant (printed) Signature of Participant (if over 18) Name of Parent or Legal Guardian (printed) Signature of Parent or Legal Guardian If participant is younger than 18 years If participant is younger than 18 years Phone number where parent/legal guardian Date can be reached in case of emergency. THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98) PART II
ACTIVITY DETAIL FORM. University of Rochester Field Hockey Camps Please indicate date(s) of attendance: □ December 4, 2022 ID Camp □ June 19, 2023 ID Camp □ August 4, 2023 ID Camp □ July 31 to August 3, 2023 Day Camp Location: University of Rochester River Campus – camps will take place at Xxxxxx Stadium, Xxxxxxx Athletic Center and Towers Field Description of Activity: Participation in field hockey, which may include training, practices, drills and competitions, some of which may involve bodily contact with others and with equipment. By participating in these activities, you may be exposed to several inherent risks, including but not limited to those listed here: Physical injury, including but not limited to broken bones, concussions or other head injuries, organ damage, torn ligaments and tendons, illness, cardiac injury, and even death. These may be accompanied by psychic injury or mental anguish. These risks may result from participation in practices, training drills and competitions, and during travel to and from practices and competitions. In signing this Agreement, I acknowledge that I have read both sides of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age. Name of Participant (printed) Signature of Participant (if over 18) Name of Parent or Legal Guardian (printed) Signature of Parent or Legal Guardian If participant is younger than 18 years If participant is younger than 18 years Phone number where parent/legal guardian Date can be reached in case of emergency. THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98) Field Hockey Camp Rules and Regulations
