I verify that I am at least eighteen years of age and legally competent to sign this waiver and consent form OR I verify that I am the legal parent or guardian and have legal responsibility for the listed child.
By signing this waiver and consent, I grant permission for myself (or my child) to participate in any and all activities at Elks Camp Grassick. These activities include but are not limited to swimming, boating, fishing, recreation activities (basketball, flag football, baseball, softball, soccer, etc), Tumbl Trak, playground activities, hayrides and other indoor and outdoor activities. I understand that as staff, I will be responsible for supervision at all activities. I recognize and acknowledge that these activities may pose some risk of injury. I further understand and agree
that Elks Camp Grassick is not an insurer and is not responsible for any costs incurred by me (or my child) arising from activities within the scope of Camp Grassick’s programs.
I indemnify and hold harmless Elks Camp Grassick, the North Dakota Elks Association, the North Dakota Elks Charitable Trust, and any of its employees, directors, officers, board members, volunteers, agents, Lodges, and affiliates from any and all costs, expenses and liabilities resulting from any claim brought by or on behalf of myself (or my child) based on use of Elks Camp Grassick property and/or participation in Elks Camp Grassick programs to the extent of Elks Camp Grassick’s (and/or its owners) liability under law.