===== PAGE 1 ===== ## RESIDENTIAL SUMMER CAMP RELEASE OF LIABILITY FOR VOLUNTEERS In exchange for being permitted to participate as a volunteer in YEA Summer Camp programs and activities on the campus of Kentucky State University ("KSU"), including field trips and use of KSU facilities and services, the undersigned agrees to the following: ### 1. CODE OF CONDUCT AND INSTRUCTIONS I agree to observe and comply with all camp rules, Code of Conduct expectations, safety procedures, and guidelines. I further agree to follow oral and written instructions or directions provided by KSU employees, representatives, agents, volunteers, camp staff, and authorized program personnel. ### 2. ASSUMPTION OF RISK I understand that there are inherent risks associated with participation in camp activities, including travel, recreational activities, outdoor activities, use of facilities, and interaction with other participants. • I knowingly and voluntarily choose to participate with full understanding that such activities may involve risks of personal injury, illness, property damage, or other unforeseen circumstances. • I voluntarily assume responsibility for risks that may arise as a result of participation in camp activities. ### 3. RELEASE AND HOLD HARMLESS I release and discharge KSU, its Board of Regents, employees, representatives, agents, and volunteers from claims, liabilities, damages, losses, or expenses arising out of participation in camp activities or use of university facilities, except where caused by gross negligence or intentional misconduct. ### 4. INDEMNIFICATION I agree to indemnify and hold harmless KSU against claims, causes of action, damages, judgments, costs, or expenses, including attorney fees and litigation costs, arising from my participation in camp activities or presence on university property. ### 5. PROPERTY DAMAGE I agree to be financially responsible for damages to KSU property caused by my negligent, reckless, or intentional acts. ### 6. MEDICAL CARE AUTHORIZATION In the event of an emergency, I authorize KSU personnel and/or emergency medical providers to secure or provide emergency medical treatment deemed necessary while I am participating in camp activities. I understand that I am responsible for any costs associated with such medical care. ### 7. GOVERNING LAW I understand that any legal claim arising from my participation in the program shall be governed by the laws of the Commonwealth of Kentucky. ## ACKNOWLEDGMENT I certify that: - I am at least 18 years of age; • I have read and understand this Volunteer Release of Liability and Assumption of Risk; and • I voluntarily agree to its terms. Volunteer Name: ___ Volunteer Signature: ___ Date: _____