Southeastern Alpine Race Camp at Beech Mountain

Parent/Guardian Information

The first people we will contact in the event of an emergency are Parent/Guardian 1 followed by Parent/Guardian 2 unless otherwise specified in 'additional information'.

Parent/Guardian 1

Parent/Guardian 2

Emergency Information

Additional Emergency Contact (optional) will be contacted if Parent/Guardian 1 and 2 cannot be reached.

I, the parent/guardian of the above listed minors hereby authorize Southeastern Alpine Race Camp to use image and video of of the above listed minors in promotional content including instagram and Facebook for the Southeastern Alpine Race Camp.

Informed Consent and Acknowledgement (Skiing activities)

I hereby give my approval for my child’s participation in any and all activities prepared by Southeastern Alpine Race Camp at Beech Mountain during the selected camp. In case of injury to said child, I hereby waive all claims against  Southeastern Alpine Race Camp at Mt. Hood (SARC) including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

The named participant understands that skiing and other snow sliding and snow-play sports can be hazardous and that injuries are common. Participant accepts and assumes the risks associated with skiing, including, but not limited to: changing weather conditions, variations and steepness in terrain, snow/ice conditions, avalanches, surface or subsurface conditions, bare-spots, creeks and gullies, forest growth, rocks, stumps, course design and maintenance, terrain feature design and maintenance, the use of lifts, collisions with natural or manmade objects or other persons, defective skiing equipment, grooming and snowmobile equipment, lift towers and other structures and their components, falls, loss of control, selection of terrain, and exceeding one’s ability.  Participant is the sole judge of his/her ability to negotiate any terrain or perform any maneuver whether or not directed by someone else. Participant hereby expressly assumes all risk of injury and death associated with skiing. Participant also understands that all other activities available at or through SARC can be dangerous and that injuries are common. Other Activities may take place on or off SARC premises and include, but are not limited to, rock climbing, challenge course/zip line, trampoline, mountain biking, cliff jumping and diving, dodge ball, field sports, caving, surfing, tetherball, volleyball, disk golf, basketball, softball, ultimate Frisbee, football, soccer, swimming, canoeing, kayaking, and water park activities. Participant is the sole judge of his/her ability to participate in any other activities whether or not directed by someone else. Participant hereby expressly assumes all risk of injury and death associated
with other activities. In consideration for the use of any facilities, services, equipment, transportation, and premises, participant hereby agrees to release and indemnify, to the extent allowed by law, SARC, Beech Mountain, and its/their owners, employees, partners, directors, officers, agents, contractors, agents, and affiliated companies from all claims by or on behalf of participant against SARC arising directly or indirectly out of participant’s participation in skiing, other activities, and/or the use of any SARC facilities, services, transportation, equipment, or premises. This release includes claims arising from any cause whatsoever, including, but not limited to negligence on the part of SARC. If participant is a minor, the parent or guardian agrees to indemnify (including costs and attorney fees) SARC for any claim brought on behalf of any minor named below.

Informed Consent and Acknowledgement (Skiing activities)

I hereby give my approval for my child’s participation in any and all activities prepared by Southeastern Alpine Race Camp at Beech Mountain during the selected camp. In case of injury to said child, I hereby waive all claims against  Southeastern Alpine Race Camp at Mt. Hood (SARC) including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

The named participant understands that skiing and other snow sliding and snow-play sports can be hazardous and that injuries are common. Participant accepts and assumes the risks associated with skiing, including, but not limited to: changing weather conditions, variations and steepness in terrain, snow/ice conditions, avalanches, surface or subsurface conditions, bare-spots, creeks and gullies, forest growth, rocks, stumps, course design and maintenance, terrain feature design and maintenance, the use of lifts, collisions with natural or manmade objects or other persons, defective skiing equipment, grooming and snowmobile equipment, lift towers and other structures and their components, falls, loss of control, selection of terrain, and exceeding one’s ability.  Participant is the sole judge of his/her ability to negotiate any terrain or perform any maneuver whether or not directed by someone else. Participant hereby expressly assumes all risk of injury and death associated with skiing. Participant also understands that all other activities available at or through SARC can be dangerous and that injuries are common. Other Activities may take place on or off SARC premises and include, but are not limited to, rock climbing, challenge course/zip line, trampoline, mountain biking, cliff jumping and diving, dodge ball, field sports, caving, surfing, tetherball, volleyball, disk golf, basketball, softball, ultimate Frisbee, football, soccer, swimming, canoeing, kayaking, and water park activities. Participant is the sole judge of his/her ability to participate in any other activities whether or not directed by someone else. Participant hereby expressly assumes all risk of injury and death associated
with other activities. In consideration for the use of any facilities, services, equipment, transportation, and premises, participant hereby agrees to release and indemnify, to the extent allowed by law, SARC, Beech Mountain, and its/their owners, employees, partners, directors, officers, agents, contractors, agents, and affiliated companies from all claims by or on behalf of participant against SARC arising directly or indirectly out of participant’s participation in skiing, other activities, and/or the use of any SARC facilities, services, transportation, equipment, or premises. This release includes claims arising from any cause whatsoever, including, but not limited to negligence on the part of SARC. If participant is a minor, the parent or guardian agrees to indemnify (including costs and attorney fees) SARC for any claim brought on behalf of any minor named below.

Indemnification (if participant is under 18)

If under 18 years of age, parent, guardian, or custodian must sign the following indemnification:

In consideration for the above minor being permitted by SARC to participate in the listed and non-listed activities, which include without limitation, the use of services, and equipment, I agree to the following waiver, release and indemnification:

The undersigned parent, guardian, or custodian of the above minor, for himself/herself and on behalf of said minor, hereby joins in the foregoing Waiver and Release and hereby stipulates and agrees to save and hold harmless, indemnify, and forever defend SARC, their directors, officers, agents, employees, and volunteers from and against claims, actions, demands, expenses, liabilities (including reasonable attorney's fees), and negligence made or brought by said minor or by anyone on behalf of the said minor, as a result of the said minor's participation in the activities of SARC and his or her use of property and facilities of SARC.  I, for myself and on behalf of said minor, further agree not to sue SARC as a result of any injury, paralysis or death that said minor suffers in connection with his/her participation in the whitewater rafting activities with SARC.

Medical Release and Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the Southeastern Alpine Race Camp and its affiliates including Directors, Coaches, and Camp Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered camp session.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.