2020 Kent State Technology & Innovation Camps - AGREEMENT AND RELEASE OF LIABILITY FORM
AGREEMENT AND RELEASE OF LIABILITY FORM
This Agreement and Release of Liability Form (hereinafter “Form”) executed by the undersigned on behalf of [name of Participant] with an address at [address] (“Participant”) to Kent State University, including its Board of Trustees, officers, agents, employees, invitees, volunteers, and students (the “University”). The term “Participant,” is used in this Form as follows: (i) if Participant is of majority age, it refers only to Participant; (ii) if Participant is not of majority age (18 years old), Participant refers to Participant and Participant’s parent or guardian who is also referred to herein as “I”.
Read this entire Form before signing. Although the Participant may have already signed forms through a paper or online registration process for an upcoming program(s), Kent State University created new programming in light of COVID-19, and additional and important information is in this Form. As a result, this Form replaces and supersedes any previous paper or online forms signed (and applies to those signing for the first time) for the Program.
Kent State University through its Research Center for Educational Technology is organizing and operating the Summer Technology & Innovation Camps to be delivered virtually from June 15 to July 31, 2020, (“Program”).
Participant acknowledges and agrees: (1) to review all University information received, accurately complete all requested information including the online registration, and abide by University rules, policies, and procedures; (2) that Participant is voluntarily participating with knowledge of the risks; (3) to ensure that the Participant is aware of the Program’s code of conduct; (4) to immediately notifying the Program Director of any concerns related to the health, safety or security of the Participant, other participants, or Program staff; and (5) that he/she has the full legal authority and capacity to complete the registration for the Program, including this Form, on behalf of his/herself and/or as parent/guardian of a minor Participant.
I agree that if the Participant is a minor, that I will be responsible for the supervision of my child during the Program.
Participant understands and agrees that he/she is expected to exhibit appropriate behavior and respect at all times during the Program and agree that the Participant shall not harass, bully, victimize, stalk, embarrass, or otherwise harm another participant of the Program. Further, the Participant shall not record in any manner including but not limited to video, photograph, voice, etc. any of the Program. Participant agrees that the University may dismiss the Participant without refund, should there be a violation of the code of conduct. inappropriate behavior or disrespect for other participants or Program staff, in the opinion of University or the Program Director, that may or has endangered or negatively affected any participants or the Program.
I hereby grant permission for a temporary University account to be created for Participant for use of Microsoft Teams or another virtual platform for the limited use of participation in the Program.
ACKNOWLEDGMENT OF RISKS
Participant is fully aware of the risks and potential hazards connected with participating in the Program, including but not limited to, the risks of data mining, phishing, viruses, malware, data breach of online information, cyberbullying, exploitation, victimization, cyber stalking, online grooming, cyber predators, digital footprint, reputation loss, compliance violations, brand hijacking, image replication, and third-party attacks of the virtual platform, and Participant hereby elects to voluntarily participate and assumes and accepts full responsibility for the inherent and other risks (known and unknown) of the activities, and for any discomfort, trauma, physical injury, temporary or permanent disability, and death, as well as economic and property loss suffered by the Participant, resulting from those risks, including the risk of Participant’s negligence or other misconduct.
ACKNOWLEDGEMENT OF GOOD MENTAL AND PHYSICAL CONDITION
I acknowledge that the Participant is in good mental and physical condition for the limited purpose of Program registration and participation.
CONSENT TO RECORDING AND COLLECTION OF INFORMATION
I acknowledge that the University may collect information from Participant. In addition, I acknowledge that the University may engage with third-party service providers to provide online resources that will be used as part of the Program and that such third-party service providers may collect information from Participant. I hereby consent to University and its third-party service providers to collect information from Participant for the limited purpose of participation in the Program. A separate Photo and Film Waiver is part of the registration process for expanded permissions.
I understand that the University and/or the employee of the University owns all video, audio, programming, and materials used in the Program and the Participant has no right to use, share or publish them without the express written consent of the owner.
THIS IS A RELEASE OF LEGAL RIGHTS. READ BEFORE SIGNING. IF PARTICIPANT IS A MINOR UNDER THE AGE OF 18 YEARS OLD, A PARENT OR LEGAL GUARDIAN MUST SIGN BELOW.
I carefully read, understand and voluntarily sign this Agreement and Release of Liability Form and agree to its terms and conditions, and acknowledge that it shall be effective and legally binding upon me, my participating minor child, spouse and other children, and Participant’s other family members, heirs, executors, representatives, subrogees and estate. In consideration for the University allowing Participant to participate in the Program I agree to the fullest extent allowed by law to release, indemnify and hold harmless the state of Ohio, Kent State University, its Board of Trustees, officers, agents, employees, invitees, volunteers, and students for any action brought against the state of Ohio, Kent State University, its Board of Trustees, employees, agents, and volunteers by the above-named Participant, including but not limited to an action brought by him or her upon reaching the age of majority. I warrant that I am authorized to execute this Form on behalf of myself or the above-named minor, as applicable.
This Form is governed by the laws of the State of Ohio without regard for principles of choice of law. I agree that all legal suits, claims, actions, proceedings, or other matters arising out of or relating to this Form or the Program, whether sounding in contract, tort, statute, or otherwise, shall be subject to the sole and exclusive jurisdiction of the state and federal courts of competent jurisdiction located in the State of Ohio. Nothing in this Form shall be construed as a waiver of the sovereign immunity of Kent State University and/or the State of Ohio beyond the waiver provided in Ohio Revised Code 2743.02.