CAMP KOREY INFORMED CONSENT/RELEASE OF LIABILITY

You are going to join us on a program involving outdoor and/or indoor adventure learning activities. We are requesting that all participants sign an Informed Consent/Release of Liability form.

The following describes the responsibilities of Camp Korey, as well as the responsibilities of any consenting participant:

1.There will be strenuous physical activity involved. Although all individuals in average health will be able to comfortably participate, it shall be each individual’s responsibility to be sure s/he is healthy.

  1. Some activities will involve more risk and close proximity to others than one engages in during normal daily routines. Each individual will be informed of the risk involved, and of the behaviors and skills necessary to safely complete the activities. The participant will choose whether or not to engage in the activity, and therefore assume the risk for any potential damages, physical or emotional injuries or disabilities, or death. PERSONAL RESPONSIBILITY IS KEY TO SAFETY.

3.No alcoholic beverage, tobacco, or use of any legal or illegal drugs is permitted in any way that can affect the participant during the program. Prescription medication and any existing injury or medical conditions that may potentially be aggravated by physical activity must be reported before the program.

I ______, the undersigned, agree to participate in the Camp Korey program using outdoor and/or indoor adventure learning activities. I acknowledge that I have been advised that I can decline to participate in all of, or any part of, the activities occurring during this program if I wish. I will only engage in the activities I consider will not put my physical or emotional health at risk. I hereby hold harmless and release Camp Korey, its employees and its contractors from any and all liability with relationship to my participation in the program. This release includes the transportation to and from the site of the activities, as well as the activities themselves and covers all the sessions of a program occurring over time. This release does not, however, apply to injuries or damages caused by the gross negligence or willful misconduct by Camp Korey, its employees, or its contractors.

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Parent or Legal Guardian of minor Date

PHOTO AND MEDIA RELEASE

I ______, the undersigned, grant Camp Korey and persons or organizations acting for or through them, the right to use, reproduce, assign, and/or distribute photographs, films, videotapes and sound recording of myself, for use in educational or promotional materials they create.

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Parent or Legal Guardian of minorDate