University of South Dakota High School Dance Camp

Consent Form

Consent to Participation and Acknowledgment of Risks
(one per participant)

I, the undersigned, hereby acknowledge an awareness that participation in the University of South Dakota Dance Team Summer Camp involves risk of injury, which may include severe injuries possibly involving paralysis, permanent mental disability, or death, and that these injuries may occur in some instances as the result of unavoidable accidents.

I, the undersigned, for and in consideration of being allowed to participate, perform, and practice with the USD Dance Team Summer Camp, do hereby release the University of South Dakota, its agents and employees, while acting within the scope of their employment, from any liability for injuries or illnesses, pre-existing or aggravated, or that may be incurred by me while engaged in participation in USD Dance Team Summer Camp  activities.  Recognizing that conditioning, practice, and participation in USD Dance Team Summer Camp involves bodily contact, physical stress, and the possibility of injury; therefore, I voluntarily assume all risks incident on my participation. If injured, I give permission to a doctor/trainer to perform appropriate treatment.  

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Print Participant Name

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Participant Signature                                                                             Date

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