ADULT Summer Camp/Conference Participant Waiver 2023-2024

This Acknowledgment and Release Agreement (“Release”) is entered into as of the date of signature (“Effective Date”) between Midwestern State University, a Texas public institution of higher education located in Wichita, Texas (“University”) and the adult parent or guardian named below (“Guardian”), on behalf of such Guardian and the minor participant (“Minor”) named below.

Name of Camp/Conference Attending

One submission per participant. Please select all camps that apply.

required

Boy Scouts Merit Badge Event

MSU M. Soccer

MSU W. Soccer

MSU W. Basketball

MSU M. Basketball

Oil Bowl

6-Man Association

MSU Softball

School of Music

Varsity Spirit

MSU Volleyball

Red River Opera Lyric

MSU Cross Country

Art Camp

"Other"

Field Reservation, Private Practices

Red River Valley Choral Festival

Name of Event (if not listed)

Participant Name

Participant Phone Number

Participant Email

Alternate Emergency Contact Name/Number/Email