2025.2 Summer Light Application

Summer Light

Camp Bob Marshall Volunteer & Participant Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number*
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Email*
example@example.com
I WILL ATTEND THESE DATES:*

Friday, August 15, 2025Saturday. August 16. 2025Sunday, August 17, 2025
TANDEM BYCICLING - BICYCLE BUILT FOR TWO. (Please check one if interested in this event)

ParticipantCaptain/Guide
I WILL BE ATTENDING WITH. (Please select all that apply)*

AttendantSpouseFriendGuide DogI am attending alone.
Please indicate number of guides, and/or friends attending with you if any!
PLEASE INDICATE TYPE OF DISABILITY*

High Partial VisionLow Partial VisionTotally BlindManual WheelchairElectric WheelchairOtherNot applicable
Please describe other disability type:
+ Guides/Volunteers and Participants, you will be required to pay the $50 Registration Fee per person attending along with this application at the bottom of this application prior to sumbitting.

+ Each person is required to submit an application with appropriate signatures along with the Release and Waiver of Liability Form. (Reverse side)

+ Applications due no later than August 10, 2025.
SKI FOR LIGHT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK. AND INDEMNITY AGREEMENT

INCONSIDERATION of being permitted to participate in the Ski For Light EVENT(S), THE UNDERSIGNED, for himself, his personal representatives, heirs, and next of kin:

1. HEREBY RELEASES, WAIVES, DISCHARGES, AND COVENANTS NOT TO SUE the organizers, volunteers, participants, sanctioning organizations, Bob Marshall Camp. equipment manufacturers and/or owners, and owners and lessees of the premises used to conduct the Ski for Light event(s) and any others involved in any way, directly or indirectly, in the Ski for Light event(s,) all of whom are referred to here as "Releasees," FROM ALL EQUITABLE, OR OTHERWISE, TO THE UNDERSIGNED. his personal representatives, assigns, heirs and nextof kin FOR ANY AND ALL LOSS, INJURY AND/OR DAMAGE, INCLUDING DEATH ARISING OUT OF OR

LIABILITY OF ANY SORT OR TYPE AND BASED ON ANY THEORY, LEGAL. CONTRACTUAL,

RELATED IN ANYWAY TO THE SKI FOR LIGHT EVENT(S WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.2. HEREBY AGREES TO INDEMNIFY AND HOLD HARMLESS the Releasees and each of them FROM ANY LOSS, LIABILITY. DAMAGE, OR COST they may incur arising out of or related to the SKI FOR LIGHT EVENTS

WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

3.HEREBY KNOWINGLY, WILLINGLY, AND VOLUNTARILY ASSUMES FULL RESPONSIBILITY FOR ANY

RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to the SKI FOR LIGHT EVENT(S) whether caused by the NEGLIGENCE OF RELEASEES or otherwise.

4. HEREBY acknowledges that THE ACTIVITIES OF THE SKI FOR LIGHT EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. THE UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE

OPERATIONS OR PROCEDURES AND/OR ACTIONS OF THE RELEASEES.

5. HEREBY agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the Releasees, INCLUDING NEGLIGENT RESCUE OPERATIONS and is intended to be as broad and inclusive as is permitted by the laws of the State of South Dakota and that if any portion thereof is held invalid, it is agreed that the balance shall. notwithstanding, continue in full legal force and effect.

6.HEREBY acknowledges that this Release and Waiver of Liability. in addition to Ski for Light event(s also applies to any and all injuries, damages, and/or death that may occur as a result of the condition of any of the premises upon which any Ski for Light event(s) is held.
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVENUP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BEA COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
I HAVE READ THIS WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT. BY TYPING MY NAME BELOW, I AGREE TO THE TERMS OF THIS WAIVER.
ELECTRONIC SIGNATURE*
Type Full Legal Name
Date*
Type in today's date
WITNESS/LEGAL GUARDIAN ELECTRONIC SIGNATURE IF UNDER AGE 18
Type Full Legal Name
PHONE NUMBER OF WITNESS/LEGAL GUARDIAN
Please enter phone number area code first.
Newsletter

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My Products*

Summer Light Registration FeeParticipant Registration Fee

$50.00

Summer Light Guest Registration FeePlease select the number of guests that will attend with you.

$50.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card

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