Parent or guardian signs if student is under 18 year of age
Release of liability for participation in

The Making of Champions Football Camp

(please read carefully before signing)

I, _________________________________, the parent/guardian of ___________________________________

hereby acknowledge that my child freely and voluntarily has chosen to participate in The Making of Champions Football Camp to be held on the campus of Harvest Christian Academy, a ministry of Harvest Church, during the time period June 19, 2006, through June 22, 2006. Further, my child has volunteered to participate in the camp understanding that I would be required to sign this Release of Liability. My child participates in the camp at his OWN RISK AND I UNDERSTAND THAT NO INSURANCE COVERAGE MAY EXIST THROUGH MAKING OF CHAMPIONS, HARVEST CHRISTIAN ACADEMY OR HARVEST CHURCH TO COVER ANY CLAIMS OR DAMAGES WHICH MAY ARISE OUT OF MY CHILD’S PARTICIPATION IN THE CAMP.

Moreover, in consideration for the opportunity for my child to participate voluntarily in the enhanced educational opportunities that the Camp will provide, I hereby execute this Release of Liability with the intent to bind myself, my spouse (if applicable), my heirs, assigns and legal representatives. I further represent that I am at least eighteen (18) years of age, or older, and am competent to sign this affirmation and release.

My child, and I fully understand and agree that certain aspects of the camp could be physically demanding and that by my child’s participating in the camp, risks of accidental or other physical injury exist. These risks may include, but are not limited to (1) injury or fatality due to (a) walking, running, jumping, colliding with other players, (b) head, neck and/or back injuries, (c) inclement weather, and (d) exposure to outdoor terrain and conditions, which may cause slips, falls and/or heat exhaustion; (2) physical exertion; (3) emotional or psychological stress; and (4) suffering any type of injury or illness without immediate access to medical facilities, among others.

My child and I have fully investigated the nature of the camp, and my child understands and assumes the risks of my child’s participation in the camp. My child and I further represent that my child is in good physical condition, and does not possess, nor are we aware of, any physical or mental disabilities that will limit my child’s ability to participate in the camp. Further, my child understands and agrees to advise the camp Coordinator whenever he feels unable to continue participating.

i expressly agree and intend that my child’s participation in the CAMP shall be undertaken by my child at his own risk and that neither making of champions, harvest christian academy, harvest church, coaches, students, agents nor assigns shall be liable for any injuries, damages, claims, demands, actions or causes of action whatsoever that may arise our of or have a connection with my child’s participation in the camp, whether from acts of active or passive negligence on my child’s part, or the part of the camp or making of champions, Harvest christian academy, harvest church, or its coaches, students, agents or assigns, and I do hereby agree to forever release, discharge, indemnify, hold harmless and defend making of champions, harvest christian academy, harvest church, its coaches, students, agents and assigns for any such injuries, claims, demands, actions or causes of action.

The terms of this Release of Liability are to be governed by and construed under the laws of the State of Texas. Should any term of provision of this Release of Liability be found to be unenforceable or void, in whole or in part, the term or provision concerned shall be construed as valid and enforceable to the maximum extent permitted by law, and the balance of this Release of Liability shall remain in full force and effect. I agree that exclusive venue for any dispute arising between Making of Champions, Harvest Christian Academy, and Harvest Church and me involving this Release of Liability in any way shall be in Tarrant County, Texas.

ACCEPTED AND AGREED:

By:___________________________________________________________ Date___________________________

Parent’s/Guardian’s signature

______________________________________________________ Phone _________________________________

Parent’s/Guardian’s Printed Name

____________________________________________________________________________________________

Address / City / State / Zip Code

MAIL THIS COMPLETED FORM TO:  HARVEST CHRISTIAN ACADEMY
                                                                    7200 NORTH DENTON HWY
                                                                    WATAUGA,  TEXAS  76148