Waiver
Note: If camper is under 18, then camper's parent or legal guardian must also sign this Waiver.
I intend to participate in the Summer Camp (the "Activity"), which may include various outdoor activities, including, but not limited to, camping, hiking, campfires, archery, and swimming.
I (and if I am under 18 years old, my parent or legal guardian and I) understand that participating in the Activity is a potentially hazardous activity that involves a risk of personal or bodily injury and even death. I agree that I am voluntarily participating in the Activity (and if I am under 18 years old, doing so with the consent of my parent or legal guardian). As consideration for being permitted to participate in the Activity, I (AND IF I AM UNDER 18 YEARS OLD, MY PARENT OR LEGAL GUARDIAN AND I) ASSUME ALL RISK OF INJURY, ILLNESS, DEATH, DAMAGES OR LOSS TO ME OR MY PROPERTY THAT MIGHT RESULT, INCLUDING, WITHOUT LIMITATION, ANY LOSS OR THEFT OF ANY PERSONAL PROPERTY.
I (and if I am under 18 years old, my parent or legal guardian and I) agree on behalf of myself, and my personal representatives, heirs, executors, administrators, agents, and assigns to RELEASE AND DISCHARGE Homenetmen Los Angeles Chapter ("HLAC") and it's Board members, officers, employees, volunteers, representatives, and all other agents (collectively, "HLAC's Agents") from any and all costs, losses, demands, suits, action, payments, judgments, claims or causes of action (known or unknown), including legal and attorney fees arising out of or relating to my participation in the Activity.
In case of an emergency involving any camper that is under 18 years old, I understand that a reasonable effort will be made to contact my parent or legal guardian. In the event the parent or legal guardian cannot be reasonably reached, I and my parent or legal guardian hereby give permission to the medical provider selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for the camper. Medical providers are authorized to disclose to the adult in charge examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up, and communication with the camper's parents or guardian, and/or determination of the camper's ability to continue in the program activities.
I (and if I am under 18 years old, my parent or legal guardian and I) acknowledge that I (and if I am under 18 years old, my parent or legal guardian and I) have carefully read this Waiver and fully understand that it is a release of liability. I (AND IF I AM UNDER 18 YEARS OLD, MY PARENT OR LEGAL GUARDIAN AND I) UNDERSTAND THAT I AM WAIVING ANY RIGHT THAT I (AND IF I AM UNDER 18 YEARS OLD, MY PARENT OR LEGAL GUARDIAN AND I) MAY HAVE TO BRING A LEGAL ACTION TO ASSERT A CLAIM AGAINST HLAC OR HLAC's AGENTS RELATING TO MY PARTICIPATION IN THE ACTIVITY. I (and if I am under 18 years old, my parent or legal guardian and I) hereby give my express consent to the execution thereof and will not revoke my consent. Typing your name below serves as an electronic signature and indicates your agreement to the terms stated herein.
