CORNELL UNIVERSITY – Department, unit or organization name Name of event Date of event PARENTAL PERMISSION & HOLD HARMLESS AGREEMENTCornell University • April 18th, 2021 • New York
Contract Type FiledApril 18th, 2021 JurisdictionAssumption of Risk: I HEREBY ACKNOWLEDGE AND AGREE that I wish to allow my child to participate in the name of event (“event”). I understand that the event includes potentially dangerous activities such as, but not limited to, the following: Insert list of activities (i.e., running, swimming, making contact participants, etc…). I further understand that these activities, and others, may result in injury or illness such as, but not limited to the following: LACERATIONS • BROKEN BONES • HEAD/EYE INJURIES • TRAUMATIC BRAIN INJURY • PARALYSIS • BACK/NECK/SPINE INJURIES • HEART ATTACK • STROKE • BROKEN BONES • MUSCLE OR LIGAMENT TEARS • DEATH. I am also aware that there are other risks of injury and illness, that may arise due to my child’s participation in the event and that it is not possible to specifically list every individual risk of injury and illness. However, knowing the material risks and reasonably anticipating, appreciating, and knowing that other injuries and even death are a p