INDEMNITY AND CONTRACT AGREEMENT:
I will not hold or attempt to hold Young Life liable for any loss, damage or injury to person or property caused by any act or neglect of other
persons on or about the Property, or caused in any manner other than the willful or negligent act of Young Life, its agents and employees, and will
indemnify and hold Young Life harmless from any liability for damages or claims against Young Life arising out of or in any way related to any
such loss, damage or injury.
I release Young Life, including its trustees, employees and agents, from my physical injury, including death, or illness while at the Property. I will
assume the risk associated therewith, whether known or unknown to me at this time. This release is also intended to include all claims of my
family, estate, heirs, personal representatives or assigns.
AUTHORIZATION FOR TREATMENT:
I hereby give permission to the medical personnel selected by the camp director to secure and administer treatment and to maintain and/or release
any medical records necessary for insurance purposes as outlined under the HIPAA regulation, and to provide or arrange necessary related
transportation for the above named person.
To obtain a copy of Young Life’s Notice of Privacy Practices, log on to www.younglife.org or call (719) 867-3600.
I verify that I am or my child is in good health and am capable of participating in strenuous activities, and when necessary, will tailor my activities
to those within the bounds of my physical health.
In Colorado, campers will participate in rigorous activities at 9,000 to 14,000 feet. I recognize that any medical treatment and/or medical
transportation that is provided to me or my child while attending a Young Life camp will be paid for by my medical insurance company.
Canada: Malibu Club/Beyond Malibu: I agree that any complaint, demand, dispute, claim involving bodily injury including death and/or personal
injury or cause of action arising out of or in any way related to Young Lie’s Malibu Club or Beyond Malibu, including any activity, event, medical
treatment, and/or transportation will be governed by the laws and jurisdiction of the Canadian Province where the event or incident occurred.
COVID-19: I recognize that a national emergency was declared because of the COVID-19 outbreak and that different states and/or counties/cities
may be in various states of emergency. I recognize that even if Young Life has taken reasonable actions in light of COVID-19 and other
coronaviruses, there is no guarantee that me or my child will not contract/transmit COVID-19 or other infectious or contagious illnesses or diseases
while participating in activities and events at the Young Life property/camp, or traveling to and from, Young Life’s camp property and I release
Young Life in the event of such an occurrence.
The Center for Disease Control ( CDC) has identified that certain individuals are at Higher Risk for Severe Illness if they become ill with COVID19. This includes those who have chronic lung disease, moderate/severe asthma, a serious heart condition, are immunocompromised, or have
severe obesity, diabetes, or chronic kidney/liver disease or who are over the age of 65. Based on the CDC’s High-Risk criteria, you have
determined if you want to participate in this event or if you want your child to participate in this event.
WAIVER AND RELEASE
If I am under the age of 18, or under the age of 19 if attending Malibu Club or Beyond Malibu, my parent or guardian, by signing below, also
consent to my release and he or she agrees that this release shall be binding upon him or her as my parent or guardian as to me and my estate,
heirs, personal representatives and assigns. My parent or guardian also promises, by signing below to defend, indemnify and hold Young Life
harmless from any claim asserted by me against Young Life, including its trustees, employees and agents, if I should repudiate this release after
obtaining adulthood.