Nature Camp Release And Waiver Of Liability For Minors Form printable pdf download

NATURE CAMP

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY

AND PARENTAL CONSENT AGREEMENT

This Release and Waiver of Liability (the “Release”) is executed on this ______ day of

______________, 20__, by a minor volunteer ___________________ (“Minor”) and his/her

parent or legal guardian ________________ (“Guardian”) in favor of NATURE CAMP

FOUNDATION, INC., a nonprofit corporation organized and existing under the laws of the

Commonwealth of Virginia, Nature Camp, Inc., and both of their respective directors, officers,

employees, agents, shareholders, affiliates and assigns (collectively, “Nature Camp”).

The Minor desires to work as a volunteer for Nature Camp and engage in the activities related to

being a volunteer on a work project at Nature Camp. In consideration for participating as a

volunteer, both Minor and Guardian hereby freely and voluntarily, without duress, execute this

Release under the following terms:

1. Guardian Status. By my signature below, I attest that I am the parent or legal guardian of the

Minor named in this Waiver and Release, and that I have the authority to execute this Waiver

and Release on behalf of the Minor.

2. Waiver and Release. The Guardian and Minor each release and forever discharge and hold

harmless Nature Camp and their respective shareholders, directors, officers, employees, agents,

affiliates, successors and assigns from any and all liability, claims, and demands of whatever

kind or nature, either in law or in equity, which arise or may hereafter arise from the Minor’s

volunteer work and time at Nature Camp. The Guardian and Minor each understand and

acknowledge that this Release discharges Nature Camp from any liability or claim that Guardian

and Minor may have against Nature Camp with respect of bodily injury, personal injury, illness,

death, or property damage that may result from activities at a Nature Camp worksite. It is also

understood that Nature Camp does not assume any responsibility for or obligation to provide

financial assistance or other assistance to the Minor, including but not limited to medical, health

or disability insurance in the event of injury, illness, death or property damage

3. Insurance. The guardian and minor each understand that we expressively waive any such

claim for compensation or liability on the part of Nature Camp beyond what may be offered

voluntarily and freely by the representative of Nature Camp, in its sole discretion in the event of

such injury or medical expense.

4. Medical Treatment. The Guardian and Minor each hereby release and forever discharge

Nature Camp from any claim whatsoever which arises or may hereafter arise on account of any

first-aid treatment or other medical services rendered in connection with an emergency during

the Minor’s time at Nature Camp.

5. Assumption of Risk and Indemnification. The Guardian and Minor each understand that the

Minor’s time with Nature Camp may include activities that may be hazardous to the Minor

including, but not limited to, construction activities, loading and unloading of materials, and

local transportation to and from work sites. We recognize and understand that the Minor’s

activities at Nature Camp may, in some situations, involve activities which can pose risk of harm

or injury to the Minor. As the Guardian for the said Minor I, and the minor also hereby expressly

assume the risk of injury or harm in these activities and release Nature Camp from all liability

for injury, illness, death or property damage resulting from the Minor’s activities or the Minor’s

time at Nature Camp. Guardian and Minor agree that if anyone makes a claim against Nature

Camp Foundation, Inc. or Nature Camp, Inc., on behalf of Guardian or Minor, that Guardian and

Prepared: May 11, 2015

Nature Camp Release And Waiver Of Liability For Minors Form

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