Camp Solaris Activity Waiver

Camp Solaris Activity Waiver

  • (Please choose one.)
  • In consideration of Camp Sonshine allowing me to participate in the Program I do hereby agree: That I am aware that participating in the Program may be physically and emotionally demanding and dangerous and that I may be subject to personal injury, death, or damage to me or my property by participating in any way with the Program and that I freely, voluntarily, and with such knowledge assume the risk of death, personal injury, or property damage arising from or in any way connected with the Program. The risks associated with participating with the Program include but are not limited to the following: cuts, scrapes, bruises, fractures, debilitating injuries, fatalities, medical problems due to the challenging and physically demanding nature of the Program including heart problems, pregnant women may place the mother and unborn children at risk, falls and other unpredictable risks, I WILL NOT PARTICIPATE IF I HAVE A MEDICAL CONDITION THAT MAKES ME MORE SUSCEPTIBLE TO INJURY. That Camp Sonshine, its sureties and insurers, all personnel of Camp Sonshine, and each of them, shall not be held responsible or liable for any injury, damage, loss or expense, either to me or my property, incurred while participating in any way with the Program. FOR MYSELF, MY HEIRS, MY EXECUTORS, ADMINISTRATORS, AND ASSIGNS, DO RELEASE, INDEMNIFY, PROTECT, DEFEND, AND HOLD CAMP SONSHINE, AND ALL OFFICERS, OWNERS, EMPLOYEES, SUPERVISORS, VOLUNTEERS, AND OTHERS EMPLOYED OR PROVIDING SERVICE FOR CAMP SONSHINE HARMLESS FROM ALL LIABILITY, OBLIGATIONS, LOSSES, CLAIMS, DEMANDS, DAMAGES, ACTIONS, SUITS, PROCEEDINGS, COSTS AND EXPENSES, INCLUDING ATTORNEY’S FEES, OF ANY KIND OR NATURE WHATSOEVER, WHETHER SUFFERED, MADE, INSTITUTED, OR ASSERTED BY ME, MY HEIRS, EXECUTORS, ADMINISTRATORS, AND ASSIGNS, OR BY ANY OTHER ENTITY, PARTY, OR PERSON FOR ANY PERSONAL INJURY TO OR DEATH OF ANY PERSON OR PERSONS FOR ANY LOSS, DAMAGE, OR DESTRUCTION OF ANY PROPERTY, ARISING OUT OF, CONNECTED WITH, OR RESULTING DIRECTLY OR INDIRECTLY FROM MY PARTICIPATION IN THE PROGRAM AND WHICH ARISES BY REASON OF ANY ACTUAL OR CLAIMS OF NEGLIGENT OR WRONGFUL ACT OR OMISSION OF MINE THAT OCCURS WHILE PARTICIPATING IN THE PROGRAM. The foregoing agreement to indemnify shall continue in full force and effect notwithstanding the conclusion of my participation in the Program. That I understand that Camp Sonshine has the right to deny participation and that it is my responsibility as a participant to follow the safety standards, guidelines, and procedures established by the staff/instructors. If I do not understand specific instructions from the staff/instructor at any time I realize it is my responsibility to ask for clarity and/or assistance. I authorize the leader of the activities to secure such medical advice and services as deemed necessary for my health and safety and agree to accept financial responsibility. I give my consent to the instructors or other medical personnel to treat me in a medical situation. I give Camp Sonshine my permission to give out phone numbers, electronic and/or mailing addresses for carpool lists, social purposes (i.e. birthday parties, play dates, etc.) and other camp related promotions, events or activities. I understand that I can notify the office if this is unacceptable. If any provision of this waiver shall be deemed unenforceable by a court of competent jurisdiction, the remaining provisions shall remain in full force and effect as if the unenforceable provision does not exist. I have carefully read this Waiver and Release and fully understand its contents. I am aware that by signing this Waiver and Release, I am waiving substantive legal rights and knowing this, I sign it of my own free will. I hereby represent that I have carefully read and understand the contents of this document and sign the same of my own free will.
  • Anyone under the age of 19 is considered a minor in the State of Nebraska
  • Date Format: MM slash DD slash YYYY
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