Rock Climbing Required Waiver for Camp Bethel
This is a participant release and waiver form with Wild GUYde Outfitters. You must read each part below before signing.

This waiver is sent IN ADDITION to your Confirmation Packet. Please review "Additional Items to Pack & Bring" and safety information here:
https://www.campbethelvirginia.org/uploads/1/1/0/2/11021295/rockclimbinginfowaiver.pdf

This waiver must be completed and submitted at least 7 days before your first day of camp.

COMPLETE THIS FORM THOROUGHLY.  SCROLL DOWN AS YOU GO, and be sure to click the SUBMIT button at the bottom of the form!  Items with a small red asterisk (*) are REQUIRED items.
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Participant/Camper First & Last Name *
Thank you for using correct capitalization for names and titles throughout this registration form.
Dates of your camp participation? *
Example: July 23-28
General Release for Camper Participation in Rock Climbing:
In agreeing to participate in this WILD GUYde Adventure experience, I recognize that the activities of hiking, canoeing, caving, and rock climbing might involve some or all of the following:  
Strenuous travel in rugged natural terrain; Load carrying (for myself and others); Route-finding and navigation challenges in remote areas; Climbing, crawling, swimming, and walking in places that are high, dark, cold, wet, exposed, or constricted; Access to advanced medical care that is limited, delayed, or completely absent.
 
I also acknowledge that certain dangers and risks exist. These include, but are not limited to emotional discomfort or bodily injury or death from:
Equipment failure; Accident while traveling to or from activity sites; Drowning; water that is fast or cold or deep; Assault by creatures of nature (snakes, insects, rodents, etc.); Human error or negligence; Weather-related disaster (lightning, cold, heat, high wind, etc.); Slips, falls, and other gravity-related mishaps (loose rocks, unstable terrain, treacherous trails).

I understand that types of injuries and discomforts may include but are not limited to:
Minor or major bone fracture; Burns (cooking, rope); Scrapes, abrasions, lacerations; Head or body bumps and bruises; Muscle, tendon, or ligament strains or sprains; Hypothermia and frostbite; Allergic reactions, sickness or disease; Heat-related conditions (heat exhaustion, heat stroke, sunburn)Illnesses and infections.

I acknowledge the need to follow instructions, to obey rules, to learn thoroughly the practices and precautions of the various activities, and to participate in holding group members accountable to those practices.

I also acknowledge the need for specialized equipment (see equipment and clothing list), and am prepared to outfit myself accordingly. Furthermore, I have honestly disclosed to WILD GUYde Adventures any relevant physical or medical conditions (via the copy of the Camp Bethel Health History Form).

Photo Waiver: by signing the Participant Agreement, I also hereby waive my rights to any photos or videos of myself taken by WGA personnel for advertising, marketing, or commercial use. I understand that my personal information will not be give out, but that the photos/videos are the property of WILD GUYde Adventures.
PARENT/GUARDIAN SIGNATURE OF PARTICIPANT WHO IS UNDER 18 AT TIME OF REGISTRATION: *
My signature below indicates my understanding of the inherent risks in this experience, and my continued willingness to participate. Electronic Signature of Parent or Guardian (type your full name)
Date of completion: *
Today's date. REQUIRED QUESTION:  month / day / year; MM/DD/YYYY; example: 05/09/2023.
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**To complete your waiver, (1) click Submit, and (2) print/save your "Additional Items to Pack & Bring".
If you do not click "Submit" we will not receive your waiver, so be sure to click SUBMIT.  Thanks!  Once submitted, you will be directed to a "Thank You" message with a link to the Additional Items to Pack & Bring page of our web site.  Be sure to print/save your important Confirmation Packet/Additional Items to Pack & Bring.
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