Participant and Assemblies of God, Northern California/Nevada District Council, Inc. (hereinafter referred to as “AGNCN”) understand and agree that there are a number of various programs undertaken by departments and groups in affiliation with AGNCN, on and off the AGNCN campus facilities, involving activities and individuals that are often not under direct control or supervision of AGNCN, and that there is an overriding policy that each participant involved in these programs does so at their own risk of personal injury or damage to property; and, Participant desires to take part in the activity mentioned herein above, and fully understands and agrees that such activity might involve sporting activities, travel or contacts with other individuals or groups, and the AGNCN has limited or no control over other individuals involved in such activity; and that there is always the risk of physical injury, illness, and other loss, and possible costs or expenses for medical or dental diagnostic and curative treatments, and general and special damages for incidental loss or expense; and, in these premises, Participant does for himself or herself, and for and on behalf of said Participant and his or her family, representatives and heirs, assume the risk of all such injury, loss, expense and damages, to person or property, and does hereby wholly release AGNCN and its agents from all responsibility or liability, and waives any and all claims or causes of action against AGNCN or its agents that might arise from or on account of any sort of loss or injury of or to person or property of any description in this regard; and, as an inducement to AGNCN and its agents to allow the undersigned and such Participant to participate in such activity, does hereby agree to hold harmless AGNCN and its agents from all these things in event any such claim should arise. AGNCN does not act as an insurer, guardian, guarantor, or warrantor of the health or safety of anyone involved in such activity.
In the event it should become necessary, whether in emergency or otherwise, where the said Participant cannot act for himself or herself, consent is hereby given for AGNCN through its adult individuals serving as its agents to arrange for and consent to x-ray examinations, anesthesia, dental, medical or surgical diagnosis and/or treatment and hospital care, for said Participant, on behalf of Participant; and, in such event, Participant agrees to assume and pay all costs, charges, fees, and expenses incurred in the premises, and to hold harmless AGNCN therefrom. Participant represents and agrees that he or she already has or will provide insurance coverage or payment of such things, at Participant’s own expense.
Participant for themselves or on behalf of such minor child hereby submits to and agrees to abide by all rules and regulations, supervision, and discipline set and applied by AGNCN or its agents, and it is agreed that for violation of such rules and regulations, supervision or discipline, the participation in the activity may then be immediately terminated, without liability on AGNCN or its agents.
Participant for themselves or on behalf of such minor child hereby acknowledges that any attendee that camp leadership finds to be willfully and unrepentantly disobedient will be asked to leave camp. This will be the responsibility of the designated church leader and/or the parents to remove them from the premises.
Participant for themselves or on behalf of such minor child hereby acknowledges that any damages caused by an attendee will be the responsibility of the church and parents to cover the costs of repairs.
Participants and/or their guardians agree to allow themselves to be photographed or videoed for the purpose of distribution of a video yearbook and/or future promotional material.
By signing below, the Participant (or parent/guardian if Participant is a minor) acknowledges and accepts the risks of physical injury associated with participation in the activity described above. Except for gross negligence on the part of the sponsor and/or its representatives, including employees, and/or its volunteers, the Participant (or parent/guardian) accepts personal financial responsibility for any bodily or personal injury sustained during the activity. Further, the Participant (or parent/guardian) promises to hold harmless the sponsor (Assemblies of God, Northern California & Nevada District Council, Inc.) and its representatives, including employees, and its volunteers, for any injury related to the activity.
If a dispute over this agreement or any claim for damages arises, the Participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable arbitration process.