Camp Baldwin Liability Release Form
To be completed by all camp guests regardless of age
Name
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Group Name
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Camp Dates
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Group Leader Name
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This form must be completed by all participants who take part in any activities, outings, or services offered by, or at the facilities of, Camp Baldwin. If a participant is under 19, both the participant and the participant's guardian must complete this release. The participant and guardian, if applicable, must sign this release in the presence of one witness. No participant will be permitted to attend any outing or activity at Camp Baldwin until this release has been completed.
Waiver and Release from Liability
the participant, and his/her guardian, if applicable, understand that he/she will be taking part in a camp or retreat at Camp Baldwin, including activities such as, but not limited to, swimming, boating, challenge course, camp fires, hiking trails, games, and recreation, and these activities can be demanding and quite different from everyday events. In signing this release the participant and his/her guardian, understand the full appreciation of any risks, hazards, or dangers inherent in participation in recreation and the general activity of being at Camp Baldwin, including unforeseen forces of nature, encounters with wildlife, camp activity participation any of which could result in injury/illness that could result in loss of life, limb, and/or property. I do hereby agree to assume all of the risks and responsibilities surrounding attendance in any event held at Camp Baldwin. Therefore, the participant and guardian, if applicable, do for themselves, their heirs and personal representative, agree to defend, hold harmless, and indemnify, release and forever discharge Camp Baldwin, as well as associated or employees of Camp Baldwin, including the Camp Director, Camp Families, Baldwin Baptist Association, etc. against any and all claims, demands, and actions or causes of action on account of, or resulting from attendance at Camp Baldwin which may result and cause beyond the control of, and without the fault or negligence of Camp Baldwin and its employees and all associates during the period of participation as for stated.
Participant and guardian understand that Camp Baldwin, as well as all employees and associates, including spouses of employees, officers, directors, agents, shareholders, and servants assume and accept no liability for personal injury, loss of life, theft or damage to personal property.
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Medical Emergency:
In the event of a medical emergency, I understand that the church's group leader, not Camp Baldwin, will be responsible for medical care of all attendees. I release Camp Baldwin from any and all liability related to medical treatment. In addition I assume the risk and financial responsibility for any injury resulting during a retreat or camp at Camp Baldwin. I understand that Camp Baldwin does provide American Red Cross Certified Lifeguards at pool and lake activities during scheduled activity times and, in the event of an emergency, lifeguards will act according to their training.
Property Loss:
Participant, and guardian, understand and agree that Camp Baldwin is not responsible for personal property that is lost, damaged, or stolen while in attendance at Camp Baldwin.
Photo/Video Release:
I grant Camp Baldwin the absolute right to copyright, reuse, publish, and republish by any medium, including electronically, any photos and videos of myself, or my child, or in which they may be included, that may be taken while in attendance at Camp Baldwin.
I represent and acknowledge that I have completely read and understand this document and all its terms and matters referred to herein. I understand the group I, or my child, is in attendance with, will have chaperones responsible for the care and monitoring of me or my child during this event. By signing this I acknowledge that I, no member of my family, or other representatives, release and hold harmless Camp Baldwin and associates. I have read and understand the rules and expectations as put out by Camp Baldwin and my group in accordance with attendance at an event on Camp Baldwin property.
Printed Participant Name
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Participants Signature
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Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent or Legal Guardian Signature (if participant under age 19)
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Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Witness Printed Name
Witness Signature
Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
See Reverse Side
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