CIP Shadow Day Release

I am aware that CIP sponsors a variety of recreational activities above and beyond the academic, vocational, cultural, and physical fitness activities that are part of CIP. These recreational activities may include, but are not limited to, downhill and cross-country skiing, camping, climbing, canoeing, river rafting, hiking, and backpacking. I am further aware that there may be substantial risk inherent in some of these recreational activities. I hereby release CIP, its officers, employees, representatives, and agents from any and all liability for property damage and personal injury in any form whatsoever caused by or arising from my participation in any recreational activities and operations. I the undersigned student or parent/guardian of the above named individual or heirs and assigns, in consideration of the many and various benefits to be conferred upon me and my participation in the College Internship Program do hereby remise, release, and forever discharge the College Internship Program, its administrators, agents, employees, officers, directors, shareholders, insurers, successors, representatives, and assigns (all collectively hereinafter referred to as ‘CIP’), from all damages, claims, demands, actions, causes of actions, suits and liabilities of every kind, nature, and description whatsoever, in LAW and EQUITY, which I now have or may ever have on account of my participation in or residence with the College Internship Program, including, but not limited to: My participation in recreational activities; My participation in any individual transportation with a personal vehicle, and/or any event or activity thereto related; and, my participation in sexual activity and/or event or activity thereto related. I hereby further agree to INDEMNIFY and SAVE HARMLESS CIP against any and all claims for damages, costs and expenses arising out of my/our participation in or residence with the College Internship Program, including but not limited to any liens arising from medical insurance benefits, hospital insurance benefits, and medical or hospital services paid or rendered to me. This agreement shall be governed by the law of the state in which the program resides.

This form contains identifying information and is kept readily available to staff in case of an emergency.

I, the parent/guardian/trustee for this release form, warrant the truthfulness of the information provided in this application.

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