Medical Release and Authorization
To the best of my knowledge my child is in good health and all medical, psychological and/or emotional problems, conditions, or concerns have been fully disclosed to Tamakwa Experiences Inc. and Camp Tamakwa Inc. (“Camp”) in writing. Camp shall not be liable for any medical treatment or lack thereof to any Camper/CIT if the medical form is incomplete, contains false information, not received in advance of camp, or if Camp is not advised of any change in health status (in writing) after submission of the health form.
I hereby give permission to the physicians and/or camp staff selected by the Camp Directors, to administer and/or secure medical treatment for my child including but not limited to medication, x-ray, hospitalization, anesthesia or surgery and any transportation for said purpose. I hereby waive, release, absolve, and agree to indemnify and hold harmless Camp from all liability, injuries, or losses arising from my child’s stay at camp or participation in the Camp program, including any and all medical care rendered to my child or lack thereof except as results solely from willful neglect. It is my desire my child participate in the full camp program and all activities and confirm that he/she is capable of participating safely in all activities, including but not limited to excursions and wilderness canoe tripping unless a written medical restriction is provided and Camp agrees to said restriction in writing. I acknowledge that such participation involves risks and hazards incidental thereto all of which are assumed by me and my child. I agree to be responsible for any medical expenses beyond that furnished by Camp on behalf of my child.
I give permission for all health information and treatment to be shared with the appropriate Camp staff and outside medical personnel as deemed reasonable and necessary within the discretion of the Camp Director(s). This also grants permission for Camp to contact my child’s physician or specialist for consultation and hereby waive any privacy protection accorded by law for the purpose of treating any health condition presented at Camp.
The Courts of Ontario shall have exclusive jurisdiction over any claim, legal dispute or cause of action arising out of my child’s stay at Camp or his/her medical treatment, or lack thereof including any relationship with any Camp employee, agent, physician, nurse, or hospital including but not limited to causes of action in tort or negligence. It is hereby agreed any such legal proceedings commenced or filed against Camp, will be held only in the Province of Ontario and I, hereby irrevocably submit to the exclusive jurisdiction of the Courts of the Province of Ontario and will further indemnify and/or reimburse Camp for any legal fees or expenses incurred by Camp challenging jurisdiction in any matter or cause of action filed outside the Province of Ontario. The laws of Ontario shall govern any dispute, or claim.
Any reference to the term Camp above shall be deemed to include all of its employees, medical staff or otherwise, agents, owners, directors and officers. It is further agreed all of the above terms, conditions, and provisions are not only binding upon my child/Camper/CIT, any and all siblings, and all parents/legal guardians, but also upon any heirs, executors, successors or assigns.