Rise Up Indigenous Wellness Camp

*Space is limited, priority will be given to Indigenous participants. Our camps are free of cost thanks to our supporters. 

Parent/Guardian Information

Alternative Contact

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Rise Up Indigenous Wellness during the selected camp. In exchange for the acceptance of said child’s candidacy by  Rise Up Indigenous Wellness, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Rise Up Indigenous Wellness and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against  Rise Up Indigenous Wellness including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.