Warm Beach Camp Ministries dba
Adult Events - Permission to Participate and Release of Liability
PLEASE READ THE FOLLOWING CAREFULLY
Release/Participation: I acknowledge the right to consult with legal counsel before signing this release and waiver of claims. I may participate in Black Diamond Camp activities including transportation. These may include field games, playground, court sports, bicycles, scooters, pedal- powered trikes, swimming, BB guns, archery, climbing wall, high ropes course, Challenge Course, and axe throwing. While Black Diamond Camp will provide for adequate and reasonable participant safety, I understand that accidents can sometimes happen. Black Diamond Camp has put in place preventative measures to reduce the spread of COVID-19 however, Black Diamond Camp and Warm Beach Camp Ministries cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending programs at Black Diamond Camp could increase your risk of contracting COVID-19. While at Black Diamond Camp, I agree to comply with all Black Diamond Camp policies, guidelines, signage, and instructions. Because Black Diamond Camp is open for use by other individuals, I recognize that I am at higher risk of contracting COVID-19. With full awareness and appreciation of the risks involved, I, for myself and on behalf of my family, acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending Black Diamond Camp and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I am not relying upon Black Diamond Camp to list all possible risks. Therefore, I allow myself to participate in camp activities, I understand and expressly acknowledge that I release Black Diamond Camp and Warm Beach Camp Ministries, its employees, board of directors, volunteers, or guests from all liability for any injury, loss or damage connected in any way whatsoever to participation in Black Diamond Camp activities, whether on or off Black Diamond Camp's premises and including transportation. I waive any and all claims, fixed or contingent, known or unknown, arising from participation in activities at Black Diamond Camp. I understand that this release includes any claims based on negligence, action or inaction of Black Diamond Camp, its employees, board of directors, volunteers, or guests whether related to an incident or a COVID-19 infection occurring before, during, or after participation in any Black Diamond Camp program or activity.
Consent for Medical Treatment: I give permission for the Black Diamond Camp staff to provide first aid treatment and to request emergency medical services if I am unable to communicate or do so myself. I understand that this emergency care may require the physician to hospitalize, secure proper treatment for, and to order injections, anesthesia, or surgery for me, the camper named on this form. I understand that it is my responsibility to notify the appropriate person should an injury
Insurance: I understand that Black Diamond Camp/Warm Beach Camp Ministries does not provide any primary accident or health insurance for campers and guests and further understand it is my responsibility to provide such coverage.
Warm Beach Camp Ministries dba Black Diamond Camp | 19830 SE 329th Pl, Auburn, WA 98092 (253)939-0488 | www.blackdiamond.org
Adult Events LR Release 1-8-2021