Charitable Act Camp Liability Waiver

Charitable Act Camp Liability Waiver

Thank you for participating in Charitable Act’s 2018 summer drama camp. This form is required for all participants, production crew, and volunteers and releases Charitable Act of all liability while participating in camp. This form is in effect for twelve months from the date signed.

I certify that I am in good health and have no physical or other impediment, which would endanger me while participating in this activity. I realize that by participating in this program, I will be exposed to a risk of injury or death. I acknowledge and agree this activity has inherent risks. I have full knowledge of the nature and extent of all the risks associated with this activity.

In consideration of my participation in this activity, I agree (on behalf of myself, my heirs, executors, administrators, and assignees) to release, discharge, waive and relinquish Charitable Act, a non-profit organization, (or its officers, agents, employees and volunteers) from any and all liabilities, claims, or actions for personal injury, property damage, or wrongful death which may arise out of my participation.

I certify that I am over 18 years of age and understand the foregoing statements, and am competent to execute the above Liability Waiver, and release on my behalf.

Participant Name (printed): ______

Signature: ______Date:______

*** Minors under 18 years of age must have permission of parent or guardian ***

I certify that I am the parent or legal guardian of the participant and that I am entitled to his or her custody and control and I do hereby give permission for the Child to participate in the above activity. I further certify that the Child is in good health and has no physical or other impediment, which would endanger him or her while participating in this activity. I realize that by participating in this program, the Child will be exposed to a risk of injury or death. I acknowledge and agree this activity has inherent risks. I have full knowledge of the nature and extent of all the risks associated with this activity.

In consideration of my child’s participation in this activity, I agree (on behalf of myself, my child, his/her heirs, executors, administrators, and assigns) to release, discharge, waive and relinquish Charitable Act (or its officers, agents, employees and volunteers) from any and all liabilities, claims, or actions for personal injury, property damage, or wrongful death which may arise out of my child’s participation.

I hereby certify that I understand the foregoing statements, and am competent to execute the above Liability Waiver, and release on his/her behalf.

Child’s Name (printed):______

Date of Birth of Child: ______

Name of parent or guardian (printed): ______

Relationship to child: ______

Parent or Guardian’s Signature:______Date:______