In consideration for using RMC’s facilities as described above and RMC furnishing services and/or equipment to enable me to participate in activities associated with or enter upon the lands of RMC, their agents, owners, associates, and all other persons or entities acting in any capacity on their behalf, I hereby voluntarily agree to release, indemnify, discharge, hold harmless, and covenant not to sue RMC, on behalf of myself, my children, my parents, my heirs, assigns, personal representative, and/or estate for any and all claims of liability arising out of their negligence, strict liability, breach of contract, or any other act or omission which causes the undersigned illness, injury, death, and damages of any nature in any way connected with my participation in these activities or for being upon the lands of RMC. 

I, (name if over 18 -or- parent or legal guardian if under 18 years of age)insert first and last name here being aware of the penalty for perjury, do solemnly swear: I, individually and on behalf of my family, RELEASE : RHEMA Bible Church, RHEMA Bible Training College, RHEMA Bible College and Kenneth Hagin Ministries, Inc. (collectively referred to as "RHEMA") and their agents officers, directors, employees and instructors and Hudson Valley Family Church and their agents, officers, directors, and instructors and Refreshing Mountain Camp Inc. (RMC and their agents, officers, directors, employees, and instructors from all liability for any harm to myself/my child or my/my child's property resulting directly or indirectly from (a) my/my child's participation as an Encounter Youth Camp Leader or Counselor and (b) any harm to myself/my child or my/my child's property resulting directly or indirectly from any travel to, from or in connection with such participation. I personally assume all risks and liabilities in connection with my/my child's participation as an Encounter Youth Camp Leader or Counselor.

I acknowledge and accept that there are significant elements of risk in any adventure sport, activity, or training that requires harnesses, belays, and other equipment or that may involve hiking, climbing, and/or repelling (i.e. Climbing Wall, Zip Lines, High Ropes Course, Climbing Tower, Leap of Faith, Giant Swing, Giant’s Ladder, Low Ropes, Swimming, Archery, Orienteering, Nature Studies, Physical Challenge Courses, Group Initiatives, and other events referred to hereafter as
“activities”) and the use of any equipment.

In consideration of being allowed to participate in any of the aforementioned activities at Refreshing Mountain Camp, Inc. (hereafter “RMC”) I, for myself and any minor children for whom I am parent, legal guardian, or otherwise responsible and for my / our heirs, personal representatives or assigns, hereby acknowledge the risks of injury or damage to property, personal injury, and or death involved in participating in the activities at RMC. I further agree to require said minor to participate in all safety training and wear all safety equipment provided by RMC for any of the above activities.

I, for myself and any minor child(ren) for whom I am parent, legal guardian and/or otherwise responsible hereby release, acquit and forgive RMC, its principals, directors, officers, agents, employees, and volunteers (Releasees) from any and all liability of any nature for any and all injury or damage (including property damage, personal injury, illness, paralysis, and/or death) to me or said minor child(ren) as the result of my/our participation in the activities at RMC.

I, for myself and any minor child(ren) for whom I am parent, legal guardian and/or otherwise responsible, and my/our heir(s) personal representatives or assign(s) also hereby expressly waive any claim, lawsuit, complaint, charge, or cause of action against RMC, its principals, directors, officers, agents, employees and for any and all injury or damage, to me or any such minor child(ren) and other person(s) as a result of my/our participation in the activities at RMC.

I, for my/our heir(s) personal representatives, and assign(s) also hereby expressly agree to indemnify and hold harmless RMC, its principals, directors, officers, agents, employees, including costs, expenses, and counsel fees, from and against all claims, lawsuits, complaints, charges, or causes of action arising from the participation in the activities at RMC, and the activities for which this Release and Waiver agreement is given.

I give permission for my child to ride in any vehicle designated by the Pastors, Youth Pastors, Leaders or Chaperones of RHEMA, Hudson Valley Family Church, and Refreshing Mountain Camp, its employees and adult volunteers, during and while at this event.

I acknowledge that Hudson Valley Family Church and the Encounter Youth Camp reserves the right to use all photographs and video taken during the said event for future use.

HEALTH CARE PROXY:
In the event that I (or my child, if under 18 years of age) require health care decisions be made on my behalf, and if my emergency contact is unable to be reached, I hereby authorize any person who is 21 years of age or older and who is either an Encounter Youth Camp Leader or Counselor in an activity being held at Refreshing Mountain Camp, or holds a higher position, to be my health care agent and, following consultation with the attending physician of my agents choosing, to make any and all health care decisions for me/my child and hereby release this health care agent from any and all liability for the consequences of their decisions.

I am physically and medically able to safely complete these activities. I am aware of the medical, weight and age restrictions to participate in the aerial activities, and I certify that I and/or any Minor accompanying me for whom I am Guardian, meet these restrictions. My participation in this activity(ies) is purely voluntary, and I have elected to participate in spite of the risks. I am not currently under the influence of alcohol, illegal drugs, or impairing legal drugs.
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In consideration for using RMC’s facilities as described above and RMC furnishing services and/or equipment to enable me to participate in activities associated with or enter upon the lands of RMC, their agents, owners, associates, and all other persons or entities acting in any capacity on their behalf, I hereby voluntarily agree to release, indemnify, discharge, hold harmless, and covenant not to sue RMC, on behalf of myself, my children, my parents, my heirs, assigns, personal representative, and/or estate for any and all claims of liability arising out of their negligence, strict liability, breach of contract, or any other act or omission which causes the undersigned illness, injury, death, and damages of any nature in any way connected with my participation in these activities or for being upon the lands of RMC.
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 I fully understand the activity or activities involve(s) risks and dangers of serious bodily injury, including permanent disability, paralysis, and/or death. These risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the activity or activities, the condition(s) in which the activity or activities take(s) place. I further recognize and agree to inspect each feature and associated facilities and equipment prior to use and read and obey all signs, and written or verbal rules associated with each activity. I further agree and warrant that at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the activity or activities. There may be other risks and economic and social losses either known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs and damages I incur as a result of my participation, or that of the Minor, in the activity or activities. 

 I fully understand and acknowledge that: (A) activities at RMC have inherent risks, dangers, and hazards and such may exist in my use of RMC property and equipment and my participation in the above mentioned activities; (B) my participation in such activities and/or use of such equipment may result in injury or illness including, but not limited to bodily injury, strains, fractures, partial and/or total paralysis, other ailments that could cause serious disability or death; exposure to insect, tick, or snake bites, exposure to extreme temperatures and inclement weather, slips and falls, encounters with animals, collisions with other participants or objects, my physical condition, and injury and illness; (C) these risks and dangers may be caused by the negligence of the owners, employees, officers and agents of RMC, the negligence of participants, the negligence of others, accidents, breaches of contract, the forces of nature or other causes. If I choose to participate in RMC activities, risks and dangers may arise from foreseeable or unforeseeable causes including, but not limited to, misjudgment of a guide or employee, weather, land or course conditions, my ability to participate in the activity, risks of falling from high platforms, stands, or towers, risks of becoming entangled or ensnared with ropes or other equipment, and other hazards and dangers that are integral to or reasonably foreseeable recreational activities that takes place in an outdoor farm or recreational environment; and (D) by my participation in these activities and/or use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages, whether caused in whole or in part by the negligence or other conduct of the owners, administrators, directors, agents, officers, members, volunteers or employees, other participants, sponsors, advertisers, and if applicable, owner and lessors of premises on which the activity or activities of RMC take place, or by any other person, and that they may arise from foreseeable or unforeseeable causes.  

 I hereby grant permission to RMC to make and use for promotion or other purposes, photo, video, and/or audio records of my and/or my child(ren)’s likeness and/or voice without recourse or compensation to me or anyone else otherwise. 

I HAVE READ THE ABOVE WAIVER AND RELEASE OF LIABILITY AND BY SIGNING IT, AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE RMC FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE. I FULLY RECOGNIZE AND UNDERSTAND THAT IF I (OR ANY MINOR ON WHOSE BEHALF I AM SIGNING THIS RELEASE), AM HURT, DIE, OR MY PROPERTY IS DAMAGED, I AM GIVING UP MY RIGHT TO MAKE A CLAIM OR FILE A LAWSUIT AGAINST RMC EVEN IF THEY NEGLIGENTLY OR BY SOME OTHER ACT OR OMISSION CAUSE THE INJURY, DAMAGE OR DEATH. I EXPRESSLY ASSUME ALL RISK. I VOLUNTARILY SIGN MY NAME AS EVIDENCE OF MY ACCEPTANCE OF THE ABOVE PROVISIONS.

I understand that this Release shall be governed under the laws of the Commonwealth of Pennsylvania. Any legal action arising hereunder shall be brought and decided exclusively by binding arbitration. If the Court finds any provision of this Release, or portion thereof, to be unenforceable, that provision of the Release will be enforced to the maximum extent permissible so as to effectuate the intent of the parties, and the remainder of this Release will continue in full force and effect. I understand that RMC reserves the right, in its sole discretion, to accept or deny services to any person that its owners, agents, or employees deem a hazard to themselves or to others. RMC may terminate my participation in the activity, if it believes me to be incapable of following the instructions, meeting the safety requirements or the rigors of participating in the activity, including but not limited to, any medical or safety reasons. I specifically agree to release RMC from any liability if I am prevented from participating in the activity for any reason whatsoever. RMC may alter its published or announced requirements for participation in its activities and for use of its property at any time and for any reasons that it may deem appropriate.
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