top of page
Adult and Teen Medical Release
Contact
Sessions
 
Which camp sessions will you be partipating in?
Medical Insurance and Physician
 
Medical History
Release, Indemnification, and Waiver

I, the undersigned, hereby acknowledge that I have been advised and fully understand that certain elements of danger are inherent in the activities sponsored by School of the Greenwood, INC, which are beyond the control of the instructors, agents, officers, students, and employees of School of the Greenwood, INC, and that participation in any program activities may entail unavoidable risk of personal injury, death, and loss of or damage to property. These risks include, but are not limited to: insect and animal bites and stings (including but not limited to ticks, yellow jackets, wasps, venomous snakes), forces of nature such as but not limited to lightning and unexpected extreme weather conditions, and any hazard present in the environment, such as but not limited to lightning and unexpected extreme weather conditions, and any hazard present in the environment, such as but not limited to low-lying branches, falling trees or limbs, contact-irritant plants (i.e. poison ivy), sharp objects, and slippery surfaces. I hereby assume all risks of injury and death to myself or my child and loss of or damage to property arising out of my or my child's participation in such activity and I agree to indemnify and hold harmless School of the Greenwood, INC, its officers, instructors, agents, and employees ("Releasees") from and against all claims arising from any occurrence causing damage or injury to myself, my child, my property, or to any party participating in said event or any third parties injured as a result of my child's actions. I also confirm that by signing as myself or as a Parent/Guardian, I release, waive and discharge the Releasees for all claims I or any parent of my child might have as a parent or guardian for injury to a child for whom I have signed. Prior to signing below, I have read and understand the terms and conditions of this Release, Indemnification, and Waiver, and I agree to subscribe to all the terms and conditions set out above.

Your form has been submitted. Thank you!

bottom of page