Participant Assumption of Risk and Waiver of Liability Form

BY SIGNING THIS DOCUMENT YOUR LEGAL RIGHTS AND THOSE OF YOUR CHILD MAY BE AFFECTED. PLEASE READ CAREFULLY.
Please Note: Completion of this form is required for your child’s participation at Bushkids

Risk Assessment Summary

Participating with Bushkids, an outdoor, nature-based program, includes inherent risks of injury and harm. We require that you accept these and other risks as a condition of your child’s participation. While the variety of risks is more than can be listed here, and keeping in mind that Bushkids educators are experienced and make reasonable efforts in supporting participants to stay safe while learning and playing in nature to mitigate these risks, without limiting the generality of the foregoing, the following is a list of the more obvious and frequent risks:

Injuries from executing strenuous and demanding physical activities
Injuries resulting from matches or fire
The presence of wild animals and dogs
Changing and inclement weather including cold weather, storms, high winds, lightning
The possibility that your child may not heed safety instructions or directions given to the group or delivered individually
Negligence on the part of other participants

Furthermore, please be aware:

That injuries sustained in outdoor activity can be severe
That all explained rules are designed to enhance safety and are to be followed at all times
That risk of injury increases with fatigue

The Risk Assessment Summary is intended to enable you to better understand and accept the various risks involved at Bushkids. It is your responsibility to weigh and evaluate the risks for your child.

Your child is under no obligation to participate in all activities with Bushkids and may choose not to participate at any time after you sign this form.

Please initials each of the statements below:
> I have read and understand the Risk Assessment Summary for Bushkids and have instructed my child to listen to and follow the instructions provided pertaining to participation with Bushkids. Initial here*
> I understand that due to the Bushkids approach and philosophy my child may be exposed to risks, dangers or hazards during outdoor, interest-led, free play. I also understand that staff are present to support and mitigate these risks. Initial here*
> Being satisfied that Bushkids is suitable for my child, I give consent for my child to participate.Initial here*
> I will notify Bushkids ownership or employees if my child suffers from any medical or health condition that may cause injury to themself or others, or may require emergency care during Initial here*
> I allow Bushkids to obtain medical treatment for my child in the case of an emergency, accident or illness. Initial here*
I acknowledge that I have carefully read this Form and fully understand the risks associated with my child’s participation with Bushkids and my signing of this Assumption of Risk and Waiver of Liability form are completely voluntary.

Upon execution of this form I hereby unconditionally release, waive and discharge my right, whether by contract or under operation of law to file cause of action(s) or claim(s) which I or my child may have against Bushkids, its operators, employees, agents, representatives, successors and assigns, now or in the future in relation to my child’s participation with Bushkids.

I acknowledge that my child’s participation with Bushkids is entirely at my own risk, and I hereby assume any and all risk of loss, liability, damage or costs, including bodily injury or property damage that may incur arising out of or in connection to my acts and/or omissions.
Child's Name*

First NameLast Name
Legal Guardian's Name*

First NameLast Name
Legal Guardian's Signature*

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Date*

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Witness Name*

First NameLast Name
Witness's Signature*

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Date*

MonthDayYear
Should be Empty:

Participant Assumption of Risk and Waiver of Liability Form

Risk Assessment Summary