Participant Assumption of Risk & Release

IN CONSIDERATION of my being permitted to participate in the activities at Glen Lake Camp and Retreat Center (“GLC”), I the undersigned, in full recognition and appreciation of the dangers and hazards inherent in participating in such activities and in the circumstances to which I may be exposed during participation in the activities, do hereby agree to assume all the risks and responsibilities surrounding and pertaining to my participation in the activities; and

FURTHER, I do for myself, heirs and assigns, hereby agree to defend, hold harmless, indemnify, release and forever discharge all employees and volunteers, and all its officers, agents and employees from and against any and all claims, demands, and actions, or causes of action, on account of damage to personal property, personal injury, death which may result from my participation in said activities which results from causes beyond control of, and without the fault or negligence of, GLC, its officers, agents or employees, during the period of my participation in the activities.

I understand medical care is the responsibility of and provided by the group I am attending with and not by Glen Lake Camp. I affirm that any medical information regarding me/my child has been provided to the Group Leader. I understand that it is my sole responsibility to notify the Group Leader of any and all medical needs and activity restrictions I/my child may have. It is the group leader’s responsibility to share physical limitations to GLC

I understand my insurance coverage will be the primary coverage in the case of an accident/seeking medical treatment. If the group/church I am attending with carries coverage, I understand their policy will be secondary coverage.

In case of needed emergency medical treatment, I hereby give permission to the physicians selected by the Executive Director of Glen Lake Camp & Retreat Center (Glen Lake Camp) or his/her designee to secure treatment for me/my child. I further authorize Glen Rose Medical Center and all other medical facilities providing treatment to release pertinent information to Glen Lake Camp staff for the purpose of emergency contact and/or parental/guardian notification. I recognize the natural risks of injury or disability inherent in me/my child’s participation in Glen Lake Camp’s recreation program, and hereby assume the risk of injury that could result from these activities not excluding waterfront, water park, zipline and rock-climbing wall. I release Glen Lake Camp and the Central Texas Conference of the United Methodist Church and the employees and volunteers of all such entities from liability for injury to myself/my child from participation in these and other programs.

I give my permission for my/my child’s photo(s) to be utilized at the discretion of Glen Lake Camp which includes their website. However, I understand no name will be used with the photographs.  I give my permission for my/my child's photo(s) to be utilized at the discretion of Glen Lake Camp which includes their website. However, I understand no name will be used with the photographs

Disclosure

Glen Lake Camp’s Challenge Course program includes a variety of different components including, but not limited to, orientation, games, group initiatives, zip line, climbing wall, and low ropes course elements which are all physical activities.  While trained facilitators are present and participation remains at all times a choice by each individual, there are still inherent risks that no amount of training and/or supervision can eliminate.  Glen Lake Camp maintains high safety and training standards, yet there is a risk which must be assumed by each participant that he or she may suffer an emotional or physical injury.  These risks include but are not limited to: inclement weather, loss or damage of personal property, accidents resulting from climbing, swinging, jumping, and other types of outdoor activities, unforeseeable acts of nature and the emotional effects of being in perceived risk.  To help us in providing a safe experience, each participant must provide the facilitators with any information regarding physical limitations and/or disabilities.  Each of the activities will be present upon a “challenge by choice” framework, which means that each participant chooses their own level of participation.  Glen Lake Camp reserves the right to deny anyone participation in the Challenge Course program.

 

Release of Liability

I have read and understood the previous disclosure statement.  I understand that Glen Lake Camp’s Challenge Course may be physically or emotionally demanding.  I affirm that I have no physical or emotional limitations that might put me or others at risk during my participation in any of the activities except what I have listed on the Medical Inquiry Form below.  I recognize the natural risks of injury, disability, or death inherent in my participation in Glen Lake Camp’s Challenge Course program and I hereby assume the risk of injury that could result from any of these activities.  I release Glen Lake Camp and their staff members from all liability for any injury to me from participation in the program.

 

Photo Release

I give my permission for me/my child’s photo to be utilized at the discretion of Glen Lake Camp which includes their website.  However, I understand no name will be used with photographs.

 

Medical Inquiry Form Information

I have disclosed to the program staff any pertinent medical reasons that may affect my safety or the safety of others during the program.  In addition, according to my specific limitations, I agree to retain the right and responsibility to choose and direct my own level of participation.

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. As a result, federal, state, and local governments and agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. GLC is doing everything we can to be compliant with all regulations and ensure your safety. We have put in place preventative measures to reduce the spread of COVID-19, but we cannot guarantee that you or your family members will not become infected with COVID-19. Further, participation could increase your risk of contracting COVID-19.

By participating in programs, services, and activities of Glen Lake Camp, you agree to the following:

On behalf of yourself, your children, or guardianship, you hereby release, covenant not to sue, discharge, and hold harmless Glen Lake Camp, its employees, agents, and representatives, of an from all liabilities, claims, actions,

damages, costs, or expenses of any kind arising out of or relating to your participation in our programs, services or activities. You understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any such program, service, or activity.

My signature below confirms that I fully understand and agree to this document.

In consideration of participants noted below, being permitted to participate in these activities, I further agree to indemnify and hold harmless Releasees from any claims alleging negligence which are brought by or on behalf of minor or are in any way connected with such participation by minor.

The adventure education environment must be a safe one.  This form is intended to notify staff of your existing medical conditions that could impact the safety of yourself and the group. 

Note:  If the answer to any of the questions above is “yes”, one of our staff may like to check-in on you about the situation.  We are able and willing to adjust the program to fit your needs (within reason). 

The adventure education environment must be a safe one.  This form is intended to notify staff of your existing medical conditions that could impact the safety of yourself and the group. 

Note:  If the answer to any of the questions above is “yes”, one of our staff may like to check-in on you about the situation.  We are able and willing to adjust the program to fit your needs (within reason).