Participant First and Last Name *

Parent/Guardian First and Last Name *

Parent/Guardian Email *

Parent/Guardian Email (Confirmation) *

GVSU Student Email (Or participant email) *

GVSU Student Email (Or participant email) (Confirmation) *

Parent/Guardian Phone *

This is a legally binding release 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 at Haunted Library, an event sponsored by the Grand Valley State University Programming Board, the 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 affirm that my minor child has adequate health to participate in these activities, and acknowledge that 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 have any questions or concerns regarding their participation, I will seek out a working staff member immediately. All participation in this event is voluntary. 

I agree to hold Grand Valley State University and the Campus Activities Board 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 Haunted Library. 

By signing, I agree that the Grand Valley State University and the Campus Activities Board are NOT responsible for my minor child's personal safety, and that my child is voluntarily participating in the Haunted Library.