Participant First and Last Name *

Parent/Guardian First and Last Name *

Parent/Guardian Email *

Parent/Guardian Phone *

This is a legally binding assumption of risk made to Grand Valley State University. I fully recognize that there are dangers and risks to which my minor child may be exposed by participating in the inflatables (the “activities”) at LakerPalooza, an event sponsored by the Grand Valley State University Student Organization, Campus Activities Board. I understand the University cannot guarantee my minor child’s safety while they are participating in this event. I understand that there are dangers and risks associated with all physical activity including the risk of physical injury, and that during this event, participants may be invited to participate in a variety of physical activities. Consequently, I assume the risk in ensuring my minor child has adequate health to participate in these activities. It is my responsibility to check with a physician of my choice about my minor child’s health status if there is any question regarding their fitness for participation. If at any time during participation, the minor child experiences any physical distress, or if I have any questions or concerns regarding their participation, I will seek out a working staff member immediately. Participation in the activities is voluntary. 

I voluntarily assume the risk of my minor child’s participation in the activities. I agree to hold Grand Valley State University, Campus Activities Board, and ACP Entertainment harmless from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my minor child’s participation in the activities at LakerPalooza.

By signing, I agree that the Grand Valley State University, the Campus Activities Board, and ACP Entertainment are NOT responsible for my participant's safety, and that they are voluntarily participating in using the inflatables.