NAME OF CAMP/PROGRAM:___
PARTICIPANT NAME:___
I agree to be financially responsible for damages to Kentucky State University property caused by negligent, reckless, or intentional acts of my child.
I understand that any legal claim arising from participation in the program shall be governed by the laws of the Commonwealth of Kentucky.
I certify that:
I am the parent/legal guardian of the participant listed above;
I am at least 18 years of age;
I have read and understand this Residential Summer Camp Release of Liability;
and I voluntarily agree to its terms.
Parent/Guardian Signature ___
Date _____