WAIVER AND RELEASE OF LIABILITY
I understand that parts of the PRCC Athletic Camps and Other Camps and Programs may be physically/emotionally demanding. I affirm that my health is good and that I am not under a physician’s care for any undisclosed condition that bears upon my fitness to participate in the camp/program activities. I understand that the level of participation in the camp/program activities is at all times completely voluntary and subject to my choice. In addition, I recognize the inherent risk of injury or disability in my participation in any and all camp/program activities and understand that each participant must assume the risk of injury that could result from any of the activities. I hereby release Pearl River Community College, the Board of Trustees, the Community College System of Mississippi, the State of Mississippi, and all employees and agents of these parties from all liability for any and all injury, disability, and damage to me from participation in the PRCC Athletic Camps and Other Camps and Programs. Also, in the unlikely event of an emergency, I hereby give my permission to PRCC staff (or emergency response personnel) to select a medical facility or physician and/or otherwise secure proper treatment for me, should I be unable to communicate my specific desires.
Protected Health Information Use and Disclosure: I understand and do hereby give my consent that, in any medical emergency, information regarding my health may be used and disclosed for the purpose of treatment. I waive any and all rights which I may have under state or federal law as to my protected health information for that purpose.
By my signature below, I recognize and assume all risks associated with participating in the PRCC Athletic Camps and Other Camps and Programs and agree to defend, indemnify, and hold harmless Pearl River Community College, the Board of Trustees, the Community College System of Mississippi, the State of Mississippi, and all employees and agents thereof from any and all obligations, liabilities, claims, demands, injuries, disabilities, damages, costs, and expenses, including attorney’s fees, of any kind and nature whatsoever, which may arise from or be caused by or in connection with my participation in any activities related to the PRCC Athletic Camps and Other Camps and Programs.
I hereby acknowledge and agree that the terms of this Release of Liability shall serve forever as a release and assumption of risk for myself and shall be binding on my heirs, estate, executor, administrator, assignees, and all members of my family.
