Please read carefully and sign electronically below
In consideration of the University of Maryland’s (UMD) acceptance of my minor child for participation in the University of Maryland Terrapin Community Music School (TCMS), including the use of University facilities and equipment, I, on behalf of said minor child and myself, our heirs, personal representative(s) and assign hereby represent and agree as follows:
1. I acknowledge that I understand the purpose of the UMD TCMS, including its activities, policies, and procedures.
2. I understand and agree that my child must abide by all rules, regulations, expectations and standards of conduct applicable to participation in TCMS. I further understand and agree that the University of MD reserves the right to suspend, limit or terminate my child’s participation in any activity, or in the TCMS if, in the sole discretion of TCMS staff, my child’s conduct or actions do not conform to said rules, regulations, expectations, and standards of conduct or are otherwise dangerous, destructive, or disruptive.
3. I understand that the UMD TCMS requires a minimum level of fitness and skill for safe participation. I also understand that the UMD advises that participants in their Programs have a physical examination to determine their fitness for participation. I further understand that the UMD does NOT provide medical, health or other insurance for participants in the UMD TCMS.
4. Should my child require first aid or emergency treatment as a result of illness or injury associated with participation in the UMD TCMS, I consent to such first aid or treatment.
5. I fully recognize and understand that there are risks and hazards, both minor and serious, associated with participation in TCMS.
6. Knowing the dangers, hazards and risks associated with participation in the UMD TCMS, and with sufficient knowledge of my child’s physical condition(s) and limitations, if any, I voluntarily assume all responsibility and risk of loss, damage, illness and/or injury to person or property which my child may, in any way sustain in connection with their participation in the TCMS.
7. To the fullest extent permitted by law, I hereby release and forever discharge, and agree not to sue and to indemnify and hold harmless, the State of Maryland, the UMD, and their officers, agents, employees and volunteers from and against any and all liabilities, claims, demands and causes of action of any kind on account of any loss, damage, illness or injury to person or property in any way arising out of or relating to my child’s participation in the UMD TCMS and/or use whether due to the negligence, default or other action or inaction of any person or entity.
8. In case of emergency or illness of my child, I acknowledge every effort will be made to contact the parents or guardians. In the event that contact cannot be made, I hereby grant permission for physicians, dentists, or other licensed health care providers and their designees to administer outpatient medical, surgical, or dental services as appropriate; or administer necessary antigens or other injections; to perform emergency procedures as necessary; or to refer to duly licensed medical personnel when indicated.
I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER AND THAT I HAVE READ AND FULLY UNDERSTAND THIS RELEASE AND INFORMED CONSENT FORM, AND I SIGN IT VOLUNTARILY WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.
