PLEASE READ THIS DOCUMENT CAREFULLY BEFORE SIGNING.
THIS FULLY SIGNED FORM MUST BE SUBMITTED BY A PARENT OR LEGAL GUARDIAN
BEFORE ANY CHILD IS ALLOWED TO PARTICIPATE IN THE ABOVE REFERENCED CLASS.

I, the undersigned, wish for my Child (hereafter “Child”) to participate in the above referenced class (hereafter “Class”) on the date(s) and location indicated above and, in consideration for my Child’s participation, I hereby agree as follows:

1. I acknowledge, understand, and appreciate that as part of my Child’s participation in the Class there are dangers, hazards, and inherent risks to which my Child may be exposed. I further realize that participating in the Class may involve risks and dangers, both known and unknown, and have elected to allow my Child to take part in the Class. Therefore I, on behalf of my Child, voluntarily accept and assume all risk of injury, loss of life, or damage to property arising out of participating in the Class.
   
   
2. I understand that University of Montana accepts no responsibility for the safekeeping of my Child’s personal property.
   
   
3. In the event of an accident or serious illness, I hereby authorize representatives of University of Montana to obtain medical treatment for my Child on my behalf. I hereby hold harmless and agree to indemnify University of Montana from any claims, causes of action, damages, and/or liabilities arising out of or resulting from said medical treatment. I further agree to accept full responsibility for any and all expenses, including medical expenses that may derive from any injuries to my Child that may occur during his/her participation in the Class.

My electronic submission of this form constitutes my signature and approval of these terms and acknowledgement of risk.