This form must be completed by a parent/guardian if participant is under 18 years of age.
THE JOHNS HOPKINS UNIVERSITY
CENTER FOR SOCIAL CONCERN
RELEASE AND INDEMNIFICATION AGREEMENT
I am the parent or legal guardian of the participant named below, who is under eighteen (18) years of age. In consideration of my child being permitted by The Johns Hopkins University to participate in one or more semesters of the Johns Hopkins Tutorial Project and related activities (collectively, “Tutorial”), I sign this Release (this “Release”) on my child’s behalf. This Release shall be valid for the duration of my child’s participation in Tutorial, whether such participation is for concurrent semesters or not.
I understand that my child’s participation in any activity, including Tutorial, involves some risk, including but not limited to possible risk of illness, injury, death, and property loss or damage. Despite these risks, I want my child to participate in Tutorial and I voluntarily assume these risks. I understand that my child is in no way required by The Johns Hopkins University to participate in Tutorial.
I grant JHU permission to authorize emergency medical treatment, first aid, or transportation to a hospital (collectively, “Medical Treatment”) as a result of my child’s illness or injury in connection with my child’s participation in Tutorial. I understand that JHU assumes no responsibility for any Claims arising out of or in connection with Medical Treatment and will not be responsible for any associated costs.
I hereby release for myself and my heirs and assigns, and my child and my child’s personal representatives, The Johns Hopkins University and its trustees, officers, employees, agents, and representatives (collectively, “JHU”) from any and all claims, causes of actions, suits, costs, expenses, losses, liabilities, and damages, whether for personal injury, illness or death, or property loss or damage, or otherwise (collectively, “Claims”) arising out of or in connection with my child’s participation in Tutorial or Medical Treatment. I further agree to indemnify and hold harmless JHU from any third-party Claims (including reasonable attorneys’ fees) caused by my child’s negligence or willful misconduct.
I HAVE CAREFULLY READ THIS RELEASE AND UNDERSTAND THAT IT MEANS I AM GIVING UP, AMONG OTHER THINGS, RIGHTS TO SUE JHU FOR INJURIES, LOSSES OR DAMAGES THAT I OR MY CHILD MAY INCUR.