YW Camp Registration Form

I give permission for my child or youth to participate in the Huntington WV Stake young women's camp. I authorize the adult leaders supervising this event to administer emergency treatment to the above-named participant for any accident or illness and to act in my stead in approving necessary medical care. This authorization shall cover this event and travel to and from this event. Please note: Units may not have the ability to meet all medical, physical, and other accommodations and are asked to counsel with parents or guardians on what is possible. The participant is responsible for his or her own conduct and is aware of and agrees to abide by Church standards, camp or event safety rules, and other pertinent instructions. The participant's conduct and interactions should abide by Church standards and exemplify Christlike behavior. Parents and participants should understand that participation in an activity is not a right but a privilege that can be revoked if participants behave inappropriately or if they pose a risk to themselves or others. This information is collected to help event and activity leaders or medical personnel so they can be prepared and appropriately respond to health concerns or an emergency. It will be kept confidential and shared only as needed.

In consideration of my use of camp facilities, I hereby forever release and covenant not-to-sue Spring Heights Camp, its Trustees, employees, instructors, volunteers, agents, and all others who are involved, from any and all present and future claims resulting from ordinary negligence on the part of the camp or others listed for property damage, personal injury, or wrongful death, arising as a result of my engaging in or receiving instruction in pool use activities, lake use activities, or any activities incidental thereto, wherever, whenever, or however the same may occur. I understand that swimming and other aquatic activities involve certain risks, including but not limited to death. I will voluntarily use camp facilities with knowledge of the danger involved and hereby agree to accept any and all risks of property damage, personal injury, or death. I have a personal responsibility to follow any safety rules and procedures established by the camp and that are associated normally with swimming and other aquatic activities. I further agree to indemnify and hold harmless the camp and others listed for any and all claims arising as a result of my participation in aquatic activities or any activities incidental thereto, wherever, whenever, or however the same may occur. I understand that this waiver is intend to be as broad and inclusive as permitted by the laws of the State West Virginia, and I agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceedings shall be in the State of West Virginia. If I am at least 18 years of age, I affirm that I am singing this agreement solely and freely. If I am under 18 years of age, I will also obtain the signature of my parent or guardian. I have read and understand all materials outlining aquatic activities, including this waiver and agree to abide by these terms.

I acknowledge that I have read and understood the aquatic activities waiver and consent to my child's participation in aquatic activities at the camp.

To Spring Heights of 2067 Barrcut Rd, Spencer, WV 25276(hereafter referred to as “THE CAMP") 1. I, the undersigned, do for myself or on behalf of my child or legal ward, hereby voluntarily request to participate in horse rides at THE CAMP, and that rider(s) will ride a horse provided by THE HORSE OWNERS. 2. The parents or guardians and rider(s) understand that horses are unpredictable by nature; that when frightened or angry or under stress, a horse’s natural instincts are to jump forward or sideways, to run away from danger at a trot or gallop, to kick, to buck, to rear up in front, or to bite; that horses are extremely powerful; and that if a rider falls to the ground, the fall distance will be generally from 3 ½ to 5 ½ feet. I understand these risks, and I voluntarily assume these risks and dangers. The rider further agrees to not abuse, misuse or deliberately agitate the horse as these actions may result in increased risk to myself and others 3. I have been advised that rider(s) are required to wear an ASTM certified helmet, and to wear it in and around any area designated by THE CAMP for horse riding so as to prevent horse related injuries (helmets will be provided by THE CAMP). 4. LIABILITY RELEASE: I hereby release THE CAMP from any claims, damages or causes of actions of any kind arising out of my or my child’s participation in horse riding or other equine activities (such as preparing to ride, mounting/dismounting the horse, etc.) while at THE CAMP. Such claims include but are not limited to personal injury, medical expense, and loss of time at work or school, and shall bind my or my child’s heirs, successors and assigns, to the benefit of the successors or assigns of THE CAMP. 5. This release is entered into in the state of West Virginia and will be interpreted and enforced under the laws of this state. Notice: A person who is engaged for compensation in the rental of equines or equine equipment or tack or in the instruction of a person in the riding or driving of an equine or in being a passenger upon an equine is not liable for the injury or death of a person involved in equine activities resulting from the inherent risks of equine activities. I, THE UNDERSIGNED, BEING OF LEGAL AGE AND OF SOUND MIND AND NOT BEING UNDER THE INFLUENCE OF ALCHOHOL, DRUGS, OR INTOXICANTS, HAVE READ AND UNDERSTAND THE FOREGOING RELEASE. I ALSO ACKNOWLEDGE I HAVE BEEN INFORMED THAT A COPY OF THIS RELEASE IS AVAILABLE UPON REQUEST.

I acknowledge that I have read and understood the horseback riding waiver and consent to my child's participation in horseback riding activities at the camp.

Welcome to the Challenge Course program! The Challenge Course is a powerful outdoor experience designed to foster self-discovery, confidence, teamwork, communication and group process skills. The Challenge Course program is a carefully structured, graduated series of elements incorporating physical, mental and social challenges. Activities may include reliance on others or equipment, climbing over obstacles, walking on cable bridges or climbing our Vertical Playground. We are confident you will find it a great learning experience. Both fun and challenging. When working outdoors and leading physical activities, safety is our main concern. We will regularly discuss basic rules of safety and provide the special organization, supervision, instruction and equipment you need to participate safely in course activities. It is impossible for us to eliminate all risk, however, and your commitment to follow instructions and use sound personal judgement will contribute greatly to your well-being. We require minimum of 45 pounds to participate and also require the participant to be at least 7 years of age. By signing this waiver, the participant and/or guardian accepts that there are inherent risks and hazards in adventure programming and agrees not to sue Spring Heights. Please read and sign the following agreement: I, as a participant or parent/guardian of a participant, understand I will be participating in activities that involve periods of physical exertion, balancing, heights (up to 55’), lifting, pushing, pulling and climbing. I know most activities will be outdoors where I will need to watch for slipper and/or uneven footing, limbs and branches, insects or animals and possible exposure to extreme or inclement weather. I fully understand that my physical activity involves risk of injure. I understand the risks may include loss or damage to personal property. I understand that I will not be forced to do any activity and that despite all reasonable precaution taken, a guarantee of absolute safety is impossible. I agree to exercise good personal judgement, to ask for help if I am concerned about my safety and to be responsible for deciding if a proposed activity is appropriate for me. I agree to inform my instructors of any physical, mental or medical condition that might affect my ability to participate or affect other members of my group. I realize that failure to tell that information could result in serious harm to myself or others. I also state that I am not under, and will not be under the influence of any chemical substance including alcohol. I agree to comply with safety instructions given and to be responsible for my personal safety and well-being. I/We agree to hold Spring Heights, its Directors, Officers, Employees, Agents, and/or Associates harmless for any accidents, injury, loss of or damage to property that may occur on this program. I/We understand that all possible precautions are taken to insure that all programs and activities sponsored by Spring Heights are conducted by mature and qualified personnel in a safe and responsible manner. I voluntarily assume the risks of the activities and agree to report any injuries before leaving the premises. In the event of an emergency, I/we understand every attempt will be made to contact the parent/guardian. In the event that the parent/guardian cannot be reached, I/we give permission to Spring Heights, to secure proper medical treatment. I understand that any medical expense not covered by Spring Heights medical insurance will be billed directly to me or to my insurance company. I/We have read and understand all materials outlining the adventure course, including this waiver and agree to abide by these terms. I am aware this is a waiver and a release of liability and I sign it voluntarily.