RELEASE, INDEMNIFICATION, AND HOLD HARMLESS AGREEMENT
(TOMPKINS COUNTY, NEW YORK)
In consideration for permission to and participation in the BrickLax Camp on July 9 and July 10, 2025 (“Activity” or “Activities”), I, the Attendee, or (if the Attendee is under 18 years of age) the parent
or legal guardian of Attendee, do waive and release forever any and all rights for claims and damages I may
have against 1) Cornell University, its governing board, officers, trustees, agents, employees, contractors,
and volunteers (collectively, “Cornell”); 2) and Coach Jenny Graap (“Coach”); and BrickLax LLC
(“LLC,” and, collectively, with Cornell and Coach, the “Released Parties”), from and against any and all
liability for any harm, injury, damage, claims, demands, actions, costs, and expenses of any nature which
Attendee may have or which may hereafter accrue to Attendee, arising out of or related to any loss, damage,
or personal injury, that may be sustained by Attendee or by any property belonging to Attendee, whether
caused by negligence or carelessness on the part of any of the Released Parties, while Attendee is in, on,
upon, or in transit to or from the premises where the Activity, or any adjunct to the Activity, occurs or is
being conducted.
I accept, understand, and assume that there is a risk of injury in this Activity, due to the physical
nature of the Activity, including but not limited to falls, contact with other participants, and being injured
attendant to the activities related to or performed at the Camp or on Cornell’s campus. Attendee agrees to
follow all instructions and to wear all necessary, recommended, and appropriate protective gear and
equipment, and assume all risks associated with participation excepting the acts or omissions of other
individuals proximately resulting in injury to the Attendee.
Assumption of Risk, Waiver, and Release of Liability: I understand that the risk of becoming
exposed to or infected by communicable diseases, including COVID-19, at Cornell University may arise
from the actions, omissions, or negligence of myself and/or others. I recognize that the University cannot
limit all potential sources of infection from communicable diseases occurring at on- or off-campus
locations. I knowingly and voluntarily assume all risks, including but not limited to, the risk of illness,
death, bodily injury, disability, or exposure or infection, for myself, and my family. I fully understand the
risks, I knowingly and voluntarily waive and release the “Released Parties” from all present and future
claims of any type, including negligence, for any harm or loss, including but not limited to, economic loss,
personal injury, disease, death or property damage suffered by me or my family, as a result of my
participation in a Cornell University program or activity or as a result of my presence on Cornell
University’s campus. I agree to indemnify, hold harmless, and covenant not to sue the Released Parties for
any personal injury, death, medical expenses, disability, loss of capacity, property damage, court costs,
attorney’s fees, or other loss arising out of the BrickLax Camp activities.
Waiver of Claims: In consideration of the opportunity to participate in the BrickLax Camp, including the use of Cornell facilities, equipment, and property, as well as any travel associated with
these activities, I hereby waive all claims against the Released Parties for any liabilities, damages, expenses,
causes of action, claims, or demands of any nature whatsoever, including claims of negligence, arising from
personal injury, exposure to communicable diseases, including COVID-19, property damage, death, or any
accident related to my participation in the BrickLax Camp, regardless of the cause, except in cases
of gross negligence. I intend for this waiver to bind my family members, heirs, executors, administrators,
representatives, and assigns, as well as myself.
I understand that this Activity is neither administered nor sponsored by Cornell University and that
the Coach is providing this camp/clinic through the LLC outside the scope of his/her employment with
Cornell. I agree to release, hold harmless, and indemnify the Released Parties from any and all claims and
liability arising out of the Activities on campus or attendant to the Camp excepting acts or omissions of
gross negligence or recklessness proximately resulting in injury(ies) to Attendee
