Media & Medical Waiver
I hereby grant permission to Hidden Acres to record, by videotape, photograph, or other means of reproduction, voice, image, and physical likeness of myself and to use any such recorded matter for promotional purposes without further consent or compensation.
In case of emergency, every attempt will be made to contact the emergency contact on the first page of this application. If such a person cannot be reached, I hereby give permission to the medical personnel selected by the camp to order any necessary x-rays, tests, treatment,; to release any records necessary for insurance purposes; and to procide or arrange necessary related transportation for me. I hereby grant permission for HIdden Acres to transport me, if necessary. I also give permission to the physician selecred by the camp to secure and administer treatment, including hospitalization, for me. I hereby agree to be responsible for payment of all costs and expenses of any health care provider or other person who acts in reliance upon this consent nd authorication for treatment.
I understand that I may choose to participate in camp activities during this event and I covenant with Hidden Acres that I will never institute any action against Hidden Acres in regard to any personal injuries or injuries to property arising from any camp or related activities. I understand and acknowledge that camp activities have inherent dangers that no amount of care, caution, instruction, or experience can eliminate, and I expressly and voluntarily assume all risk for personal injury sustained while particitpating in these activities, whether or not caused by the negligence of the released parties.
If you are in agreeance with and understand the statements above, please sign below. If you do not agree, please do not submit this application.