RELEASE FORM
As legal parent or guardian, I give permission for to attend Camp. I hereby release the EPIC Outreach and Friends of Jacksonville Animals, its agents, volunteers, employees, directors and all liability insurance carriers from all action, damages or judgments which may occur now or in the future, for all injuries arising out of the activities while attending Camp. I acknowledge and am aware that this program involves certain inherent risks. These risks may include, but are not limited to, walking on uneven ground, opening and closing gates and kennels, walking, playing and interacting with cats, dogs, other small animals, large animals like horses, donkeys, pigs, chickens and a rooster as approved by staff, weather and other people’s actions.
While EPIC Outreach and its partners will make every attempt to provide reasonable accommodations for mentally and physically challenged children, the EPIC Outreach will not accept children who are (1) a danger to themselves, (2) a danger to others, (3) a danger to the animals, or (4) a disruption to the normal activities making it unreasonably difficult for other children to enjoy Camp. Any of the above reasons will be grounds for dismissal. We strongly recommend that you discuss with staff any special conditions or circumstances involving your child. We request that you do this PRIOR to registration so that we can advise you as to whether we can make a reasonable accommodation for your child.
In the event of an emergency and my emergency contact person cannot be reached, I hereby give permission to the physician selected by EPIC Outreach to hospitalize, secure proper treatment for, and to order injections, anesthesia or surgery for the individual named on this application. I understand that no accident or medical insurance is provided with this activity.
I give my permission to EPIC Outreach to use, without limitation or obligation, photographs, film footage, or audio recordings that include my child’s image or voice for purpose of promoting or interpreting EPIC Outreach and its partners programs.
Cancellations must be made at least two weeks prior to the camp start date and must be received in writing or via the phone. A processing fee may occur for refunds.
EPIC Outreach will not issue refunds if registered students miss camp dates. EPIC Outreach reserves the right to cancel Camp due to insufficient enrollment. In that case, refunds will be issued.