2020 CYM Waiver Text

This is for reference only. Forms must be completed online as part of the Vision application.

UNIVERSITY OF NOTRE DAME 
NOTRE DAME VISION CYM SUMMER PROGRAM 
STATEMENT OF RESPONSIBILITY, WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT 
 

I, First Name Last Name being of legal age, have requested that the University permit me to participate in the Notre Dame Vision CYM (the “Program”) sponsored by the University of Notre Dame du Lac, Notre Dame, Indiana ("the University") during the period Program Week.  I understand and acknowledge that participation in the Program is wholly voluntary. In consideration of the University's agreement to permit me to participate in the Program, the receipt and sufficiency of which consideration is acknowledged, I agree as follows:

1.) I acknowledge and accept that there are certain risks, both known and unknown, including potential serious bodily injury and death that could arise from my participation in the Program, which may include field trips.  I knowingly and voluntarily agree to assume the risks of these inherent dangers in consideration of the University's permission to allow me participate in the Program.

2.) I, individually, and on behalf of my heirs, successors, assigns and personal representatives, release, acquit and forever discharge the University, and its employees, students, agents, officers, trustees and representatives (in their official and individual capacities) from any and all liability whatsoever, including liability for the University's own negligence, for any and all damages, losses or injuries to persons and/or property, including death, mental anguish or emotional distress, including but not limited to any claims, demands, actions, causes of action, damages, costs, expenses (including hospital and medical expenses and deductibles) and/or attorneys’ fees, which arises out of or results from my participation in the Program, or arising out of travel to or from the Program. 

3.) I, individually, and on behalf of my heirs, successors, assigns and personal representatives, agree to indemnify, defend and hold harmless the University, and its employees, students, agents, officers, trustees and representatives (in their official and individual capacities) from any and all liability, loss or damage they or any of them may incur or sustain as a result of any claims, demands, actions, causes of action judgments, costs or expenses, including attorneys’ fees, which result from, arise out of or relate to my participation in the Program or travel to or from the Program. 

4.) I agree that this Waiver, Release and Indemnification Agreement is governed by the laws of the State of Indiana and is intended to be as broad and inclusive as permitted by Indiana law.  If any portion of this Agreement is held invalid, it is agreed that the balance of this Agreement shall, notwithstanding, continue in full legal force and effect. In the event of any cause of action, I agree that exclusive jurisdiction concerning this Agreement lies with the St. Joseph County Superior Court or the U.S. District Court for the Northern District of Indiana.

5.) The University reserves the right in its sole discretion to dismiss me from the Program at any time should my actions or general behavior disrupt, interfere with, or otherwise impede the operation of the Program or the rights or welfare of any person. Similarly, if my conduct violates any policy or procedure of the University, I agree and understand that I may be required to leave the Program as determined by the University in its sole discretion. If payment was remitted for the Program prior to any such dismissal, I will not receive any refund (pro-rated or otherwise) for any portion of the Program that I am unable to complete. I understand that the University reserves the right in its sole discretion to cancel the Program or any component thereof prior to departure.

6.) I hereby consent to any publicity, including the University's use of my name and likeness, worldwide for any purpose, including educational and advertisement purposes, and in any format, including on website display and on CDs/DVDs. I waive any right to inspect and/or approve the final production of such photographs and/or videos which may be used in connection with my participation in the Program.  I release and discharge the University of all responsibility and liability for damages of any kind (including, but not limited to, invasion of privacy; defamation; false light or misappropriation of name, likeness or image) arising out of the use or publication of photographs and/or videos of me by the University. I further waive any claim for compensation of any kind for the University's use or distribution of photography and/or video footage of me.  I understand that this grant of permission and consent is irrevocable.

7.) In signing this Waiver, Release and Indemnification Agreement, I acknowledge and represent that I have read this entire document, that I understand its terms and provisions, that I understand it affects my legal rights, that it is a binding Agreement, and that I have signed it knowingly and voluntarily.