*Adult unisex sizing
Waiver of Liability, Indemnification and Medical Release
To be signed by parent/guardian of student participating in the event below.
I am aware of the dangers and risk to my child’s person and property involved in participating in the 2022 Experience STEAM Pre-Registered Activity at Mall of America under the auspices of the State of Minnesota.
My son/daughter may participate in the 2022 Experience STEAM event, which will take place during the week of August 10-14, 2022 at Mall of America in Bloomington, MN.
On behalf of my child, my child’s personal representatives, heirs next of kin, successors and assigns, I hereby:
a. waive, release and discharge the State of Minnesota, the Minnesota State Colleges and Universities, Northland Community & Technical College and their officers and employees from any and all liability for my child’s death, disability, personal injury, property damage, property theft or claims of any nature which may hereafter accrue to my child and/or my child’s estate as a direct or indirect result of my child’s participation in the activity or event: and
b. agree to indemnify, save and hold harmless the State of Minnesota, the Minnesota State Colleges and Universities, Northland Community & Technical College and their officers and employees from and against any and all claims of any nature including, but not limited to, all costs, expenses and fees directly or indirectly arising out of a resulting from my child’s actions during this activity or event.
I hereby consent for my child to receive medical treatment that may be deemed advisable in the event of my child’s injury, accident or illness during this event or activity. This release, indemnification and waiver shall be construed broadly to provide a release, indemnification and waiver to the maximum extent permissible under applicable law.
Personal Release Form
I hereby grant permission to Northland Community and Technical College (Northland) to reproduce my name, likeness,
identity, voice, photographic image, videographic image, and oral or recorded statements (hereinafter “Recordings”)
in any publication by Northland intended for research, educational, promotional or marketing, fund-raising, or other
related use, including webpages and web-based publications.
By signing this form, I waive and release Northland and its officers, agents, and employees, from any claim or liability
relating to the use of my name, likeness, identity, voice, photographic image, videographic image, and oral or recorded
statements. I hereby waive any right that I may have to inspect or approve the finished Recordings. I understand that
the Recordings and copyright will be the sole property of Northland.
I acknowledge that Northland will rely on this waiver and release in producing, broadcasting, and distributing
materials containing my name, likeness, identity, voice, photographic image, videographic image or oral or recorded
statements, and that I will receive no money or remuneration of any kind from Northland related to this waiver and
release or the materials covered by this waiver and release. I further consent to the public release of the Recordings for
the above-stated purposes, pursuant to the consent provisions of the Family Educational Rights and Privacy Act, 20
U.S.C. 1232 et seq., if applicable.