Minor/Youth - Camp Orr Trails Waiver and Release of Liability
In consideration of the risk of injury while participating in trail usage [hiking/biking], [the” Activity”], and as a consideration for the right to participate in the Activity, I, as the parent/guardian of the minor/youth Participant, hereby, for myself, the participant, our heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and waive all rights, claims or causes of action of any kind whatsoever arising from out of my minor/youth participant’s participation in the Activity, and do hereby release and forever discharge Westark Area Council BSA, located at 1401 Old Greenwood Road, Fort Smith, Arkansas, 72901, its employees, affiliates, board members, members, staff, attorneys, charter organizations, volunteers, representatives, predecessors, successors, and assigns, for any physical or psychological injury including but not limited to illness, paralysis, death, damages, economical or emotional loss, that the undersigned participant may suffer as a direct result of his participation in the aforementioned Activity, including traveling to and from an event related to this Activity.

I AM VOLUNTARILY ALLOWING MY MINOR/YOUTH PARTICIPANT TO PARTICIPATE IN THIS AFOREMENTIONED ACTIVITY AND ALLOWING HIM/HER TO PARTICIPATE IN THE ACTIVITY ENTIRELY AT HIS/HER/MY OWN RISK AND EXPENSE.  I AM AWARE OF THE RISK INVOLVED TRAVELING TO AND FROM SAID ACTIVITY, AS WELL PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE BUT NOT LIMITED TO, PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT DISABILITY, ECONOMIC OR EMOTIONAL LOSS, AND DEATH.  I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN, THE PARTICIPANT’S OR OTHER’S NEGLIGENCE, GROSS NEGLIGENCE OR WILLFUL MISCONDUCT.  I ACKNOWLEDGE THAT I HAVE CAREFULLY READ AND UNDERSTAND THIS “WAIVER AND RELEASE” AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY AND DISCHARGE WESTARK AREA COUNCIL BSA AND ALL OF ITS AFFILIATES SPOKEN ABOVE.  I AGREE TO GIVE UP ANY RIGHT TO BRING LEGAL ACTION AGAINST WESTARK AREA COUNCIL BSA FOR PERSONAL INJURY AND/OR PROPERTY DAMAGE AND INDEMNIFY WESTARK AREA COUNCIL BSA FROM ANY RESULTING CLAIMS THAT COULD BE BROUGHT BY THE PARTICIPANT OR THE PARTICIPANT’S ESTATE.

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Name of Youth/Minor (under 18) Participant?    (First MI. Last Name required) *
Emergency Contact Phone Number of Parent/Guardian? *
I affirm that I am the parent or legal guardian of the above listed youth/minor who is under the age of 18 and that I am freely signing this electronic Waiver and Release of Liability agreement.   And, I fully understand that this Release content cannot be modified orally, and I am signing at free will.  (Enter full name) *
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