The HBCU Kid  Waiver Form

The HBCU Kid Consent Form and Liability Waiver

  1. In consideration for receiving permission to participate in The HBCU Kid college tour, I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE, Joy Matthews and/or The HBCU Kid (hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or any of the property belonging to me, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES. or otherwise, while participation in such activity, or while in, on or upon the premises where the activity is being conducted.


  2. I am fully aware of the risks involved and hazards connected to this activity, including but not limited to travel risks. l hereby elect to voluntarily participate in said activity with full knowledge that said activity may be hazardous to me and my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me. or any loss or damage to property owned by me, as a result of being engaged in such an activity. WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES or otherwise.


  3. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from any loss, liability, damage, or costs, including court costs and attorney fees, that they may incur due to my participation in said activity, WHETHER CAUSED BY NEGLIGENCE OF RELEASEES or otherwise.


  4. I understand that The HBCU Kid does not maintain any medical or health insurance policies for students other than the insurance coverage by the transportation company.


  5. It is my express intent that this Waiver of liability and Hold Harmless Agreement shall bind the members of my family and spouse if I am alive, and my heirs, assigns, and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above-named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Arkansas.


  6. In signing this release, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign voluntarily as my own free act and deed; no oral representations, statements, or inducements. apart from the foregoing written agreement, have been made; I am at least (18) years of age and fully competent, and I execute this Release for full, adequate, and complete consideration fully intending to be bound by same.


Student: Printed Name(Required)
Parent/Guardian #1: Printed Name(Required)
Parent/Guardian #2: Printed Name

If the participant is under the age of 18, the Parent/Guardian consents to the minor's participation in the event consent for The HBCU Kid to seek reasonable and necessary medical treatment for the Participant during such an event or associated activities and agrees to be responsible for any cost of such treatment.
Consent(Required)