Assumption of risk and release I understand that during my participation at Camp Pee Dee’s high ropes Challenge Course, certain risks and dangers may occur. these include, but are not limited to the hazards of depending on other people and being at various heights (ground to 40’), being in a wilderness area, the forces of nature, and other reasons because of the content of this program. i further recognize that these risks may also include loss or damage to personal property, physical or psychological damage and/or injury not excluding fatality due to accidents which may occur, including accidents resulting from this high ropes challenge course experience or other types of outdoors activities. I further understand that in participating in the activities I am requesting to participate in, I will be exposed to the elements of nature, including temperature extremes, and inclement weather. I further understand that the nature of these activities may cause maximum heart rate in a short period of time and that medical treatment may be several hours away in the event of a medical emergency. in consideration of, as part payment for the right to participate in such a program and the services and food arranged for me by Camp Pee Dee, the Presbytery of New harmony, Pinehill Baptist retreat, Pee Dee Baptist Association, its Directors, Board of trustees, Employees, and/or Associates, I have and do hereby assume all the above risks, and any other ordinary risk incidental to the nature of the program including risks which are not specifically foreseeable, and will hold them harmless from any and all liability, actions, causes of action, debts, claims and demands of every kind of nature whatsoever, whether for bodily injury, property damage or loss or otherwise, which I now have or which may arise from or in connection with my program or participation in other activities arranged for my by Camp Pee Dee, the Presbytery of New harmony, Pinehill Baptist retreat, Pee Dee Baptist Association, its Directors, Board of trustees, Employees, and/or Associates, and their heirs, executors, and administrators. the terms hereof, and my signature on this document shall serve as a release and assumption of risk, and shall bind my heirs, representatives, executors, administrators, successors and assigns and for members of my family, including any minors accompanying me; provided, however, that nothing contained herein shall excuse Camp Pee Dee and/or Pinehill Baptist retreat from the responsibility to act with reasonable care for the safety of the undersigned participant during the course of the experience appropriate to the circumstances. I also state that I am not under, and will not be under the influence of any chemical substance including alcohol. I fully understand that any physical activity involves risk of injury. I also understand that it is my obligation to inform the Camp Pee Dee Staff and/or Pinehill Baptist retreat Staff of any medical or physical problems of which I am aware and that my participation in this Camp Pee Dee and/or Pinehill Baptist retreat program is entirely voluntary. in case of accident or illness, Camp Pee Dee and/or Pinehill Baptist retreat will attempt to provide first aid and arrange transportation to medical service if needed. Costs of medical care beyond aid are the financial responsibility of the ill or injured person. I hereby authorize the calling of a doctor or the providing of other necessary medical service should an emergency arise as determined by the Camp Pee Dee Staff and/or Pinehill Baptist retreat Staff. I agree to have my picture and/or likeness or to allow my child, named below, to have his/her picture and/or likeness used in Camp Pee Dee and/or Pinehill Baptist retreat print and/or internet publicity. A non-answer (neither box checked) will count as an affirmative decision, allowing Camp Pee Dee and/ or Pinehill Baptist retreat to use your or your child’s likeness in publicity.
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.