Nature Camp Release And Waiver Of Liability For Minors Form Page 2

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Minor agree to indemnify, save and hold harmless Nature Camp Foundation, Inc. and Nature
Camp, Inc. from any claim, including without limitation, loss, liability, damage or cost which
may occur as a result of any such claim.
6. Photographic Release. As the guardian of said minor I , and the Minor each grant and convey
unto Nature Camp all right, title, and interest in all photographic images and video or audio
recordings made by Nature Camp during the minor’s work with Nature Camp. If I have
previously withheld right, title, and interest in all photographic images and video or audio
recordings made by Nature Camp of the subject minor, then that will override this permission.
Nature Camp will honor that requirement while the rest of this document remains in force.
7. Behavior. As the guardian of said minor I, and the Minor each understand that the Minor’s
behavior at Nature Camp must comply with all rules and regulations of the US Forest Service,
and laws of the Commonwealth of Virginia and the United States of America.
8. Other. The Guardian and the Minor each expressly agree that this Release is intended to be as
broad and inclusive as permitted by the laws of the Commonwealth of Virginia, and that this
Release shall be governed by and interpreted in accordance with the laws of the Commonwealth
of Virginia. I agree that in the event that any clause or provision of this Release shall be held to
be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall
no otherwise affect the remaining provisions of this Release which shall continue to be
enforceable.
THIS IS A VOLUNTARY RELEASE OF ALL CLAIMS BY YOU. PLEASE READ
CAREFULLY BEFORE SIGNING.
I have read this Release, Waiver of Liability, Indemnity Agreement and Parental/Guardian
Consent Agreement, and understand that I have given up substantial rights by signing it and
have signed it freely and voluntarily. .
Name of Legal Guardian_____________________________________
Name of dependent/Minor__________________________________
Signature of Legal Guardian__________________________________
Signature of Minor_________________________________________
Address/Phone number of Legal
Guardian_________________________________________________
Organization______________________________________________
Date______________________________________
Emergency Contact Name___________________________________
Phone number_____________________________________
Prepared: May 11, 2015

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