Skip Navigation

Parent/Guardian Release and Waiver Form

You are receiving this online form from the Student Activities Office at Carleton College because your child plans on traveling off-campus trip AND your child is under the age of 18. Any minor attending college sponsored activities off-campus must have approval by their parent/guardian.  In order for approval, please read the information below and complete the release and waiver form.

If you have any questions, please contact the Student Activities Office at 507-222-4462.

Carleton College

Waiver of Liability, Assumption of Risk, and Indemnity Agreement

Waiver:  In consideration of being permitted to participate in any way in (Trip/Event description completed below) hereinafter called “The Activity”, I agree, for myself, my heirs, administrators, personal representatives, and/or assigns, that I do hereby release, hold harmless, and discharge Carleton College, its officers, trustees, employees, agents and others acting on its behalf (hereinafter collectively referred to as “ASSOCIATES”), of and from all claims, demands, causes of action and legal liability, whether the same be known or unknown, anticipated or unanticipated, due to Carleton College’s and/or its ASSOCIATES’ ordinary negligence; and I do further agree that, except in the event of Carleton College’s and/or its ASSOCIATES’ gross negligence and willful and wanton misconduct, I shall not bring any claims, demands, legal actions and causes of action, against Carleton College and/or its ASSOCIATES as stated above in this clause, for any economic and/or non-economic losses due to bodily injury, death, and/or property damage sustained by me and/or my minor children and/or legal wards, if any, arising from, but not limited to, participation in The Activity.

Assumption of Risks:  Participation in The Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries.  The specific risks vary from one activity to another, but the risks range from 1: minor injuries such as scratches, bruises, and sprains 2: major injuries such as eye injury or loss of sight, joint or back injuries, travel related injuries, heart attacks, and concussions to 3: catastrophic injuries including paralysis and death.  To the extent my participation in the Activity involves leaving the premises of the Carleton College campus, I understand that Carleton College does not arrange or supervise transportation to or from campus. and that I will be required to exercise my own judgment in arranging my own transportation or  agreeing to ride with other student drivers. I hereby confirm that I have voluntarily chosen to participate in The Activity, that I have investigated the demands and requirements of The Activity, and that I am physically and emotionally fit to participate in The Activity.  In the event of illness or injury, I authorize Carleton College and/or its ASSOCIATES to administer and/or secure medical treatment on my behalf.

I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in The Activity.  I hereby assert that my participation is voluntary and that I knowingly assume all such risks.

Indemnification and Hold Harmless:  I also agree to INDEMNIFY AND HOLD Carleton College HARMLESS from any and all claims, actions, suits, procedures, costs (including but not limited to any medical treatment secured on my behalf) , expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in The Activity and to reimburse them for any such expense incurred.

Severability:  I expressly agree that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of Minnesota and that if any of its provisions are held to be invalid,  the balance shall, notwithstanding, continue in full legal force and effect. 

* = required field

Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to bring legal action or assert a claim against Carleton College. I acknowledge that by clicking the “I agree” box below, I am signing the agreement freely and voluntarily and effecting a complete and unconditional release of all liability to the greatest extent allowed by law.
Confirm your agreement:*
Your students full name:*
Your full name:*
Your email:*
Your phone number:*
Trip/Event Description:*
Date(s) of trip/event:*