As the parent or legal guardian of the above student, who is a minor child under the age of
eighteen (18) (hereinafter “my Child”), and in exchange for the benefits to be derived by my Child’s participation in the North
Central Florida Educational Talent Search (“NCFETS”) Program (hereinafter the “Program”), I hereby agree, on behalf of myself
and my Child, to the following:
I hereby grant my permission for my Child to participate in the Program. I am fully aware of the risks connected with my Child’s
participation in the Program, and hereby elect to allow my Child to voluntarily participate in the Program, knowing that the
Program may pose risks, including the risk of serious physical injury, temporary or permanent disability, and death, as well as
economic and property loss. On behalf of myself and my Child, I VOLUNTARILY ASSUME ALL RESPONSIBILITY FOR
ANY RISKS OF LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, that may be sustained by my Child or me, or any
loss or damage to property owned by myself or my Child, as a result of my Child being engaged in the Program, WHETHER
CAUSED BY THE NEGLIGENCE OF SANTA FE COLLEGE, ITS EMPLOYEES, VOLUNTEERS, AGENTS, or otherwise.
On behalf of myself and my Child, as well as our respective estates, heirs, administrators, executors, and assigns, I hereby
RELEASE and DISCHARGE the District Board of Trustees of Santa Fe College, Florida, the District Board of Trustees of Florida
Gateway College, and the District Board of Trustees of College of Central Florida, and the State of Florida and their respective
trustees, employees, agents, and assigns (hereinafter “RELEASEES”) from any and all liability, arising out of any loss, damage, or
injury, including death, that may be sustained by me, or my Child, to any property belonging to me or my Child, including but not
limited to any claims, demands, actions, causes of action, judgments, damages, expenses and costs, including attorneys’ fees,
which arise out of, result from, occur during or are connected in any manner with my Child’s participation in said Program,
including such loss, damage, injury or death that may result from RELEASEES’ own negligence or otherwise, and I further
WAIVE any right I might otherwise have and COVENANT NOT TO SUE said RELEASEES in connection with any such
liability.
FURTHER REPRESENTATIONS AND ACKNOWLEDGEMENTS: I hereby further agree that this Authorization
and Release shall be construed in accordance with the laws of the State of Florida, and that venue shall be in Alachua County,
Florida. If any portion hereof is held invalid, the balance hereof shall continue in full force and effect.
I, on behalf of my Child, agree to abide by all rules and regulations of Santa Fe College. I agree RELEASEES have the right to
terminate my Child’s participation in the Program if merited by my Child’s behavior; I agree to pay all expenses incurred by my
Child’s behavior, including travel, medical, and attorney’s fees.
I further hereby AGREE TO INDEMNIFY, DEFEND AND SAVE AND HOLD HARMLESS the RELEASEES and each of
them, from any loss, liability, damage or costs, including court costs and attorneys’ fees, they may incur as a result of any claims,
demands, actions, causes of action, damages, or judgments, which arise out of, occur during, or are in any way connected with my
Child’s participation in the Program or any related travel or activities.
HEALTH CARE AUTHORIZATION: I authorize Santa Fe College to perform any acts which may be necessary or proper
to provide emergency health care to my Child in the event that I and/or the emergency contact listed above cannot be reached,
including consent to and authorization of medical procedures by qualified, licensed physicians, dentists, hospital or other
emergency medical personnel, as they, in the exercise of their profession and in their sole discretion, may deem necessary. I
understand that I am responsible for all costs and expenses of such medical treatment.
MEDIA RELEASE: I give permission to photograph my child for educational and/or promotional purposes. I consent to and
authorize the use and reproduction of any and all photographs taken of my Child in conjunction with any activities of NCFETS for
the purpose of their use in NCFETS publications and materials, including NCFETS social media.
RELEASE OF RECORDS: I hereby authorize NCFETS to request transcripts of my Child’s grades from the school in which
he/she is presently enrolled and/or any other school in which he/she may enroll. Permission is granted to NCFETS to be notified
of my Child’s placement in any secondary or postsecondary institution and the type and amount of financial aid he/she may
receive. Authorization is also given to NCFETS to begin a personal file in order to record pertinent facts regarding student
eligibility in the program, services rendered, and placement in a postsecondary institution.
In signing this agreement, I acknowledge and represent that I have read and understand it; that I sign it voluntarily and for full and
adequate consideration, fully intending to be bound by the same; and that I am at least eighteen (18) years of age, fully competent,
and the legal parent or guardian of my Child.
ELECTRONIC SIGNATURE CONSENT: The parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity,
enforceability, and admissibility. If you choose to opt out of signing an agreement electronically, you can manually complete and sign an application by contacting our office at 352-395-5960. An application with a return, self addressed, stamped enveloped will be mailed to you. You are encouraged to print a copy of this application for your records.