As a participant or parent/guardian of the above named child, I acknowledge that participating in activities at Camp Fire Minnesota involves known and unanticipated risks which could result in physical or emotional injury, paralysis or permanent disability, death, and personal property damage. Risks include, but are not limited to, broken bones, torn ligaments or other injuries as a result of falls or contact with other participants; death as a result of drowning or brain damage caused by near drowning in pools or other bodies of water; medical conditions resulting from physical activity; and damaged clothing or other property. I understand such risks simply cannot be eliminated, despite the use of safety equipment, without jeopardizing the essential qualities of the activity. I expressly accept and assume all of the risks inherent in this activity or that might have been caused by the negligence of Camp Fire Minnesota. My participation or child’s participation in this activity is purely voluntary and elect to participate despite the risks. Following appropriate medical consultation, I hereby certify that my child or I is full capable of participating in the activities. In the event of an emergency, I authorize treatment by school/group staff, Camp Fire Minnesota staff and emergency medical personnel.
I represent that I have adequate insurance to cover any injury or damage my child or I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or damage myself. I further represent that my child or I have no medical or physical condition which could interfere with safety in this activity, or else I am willing to assume – and bear the costs of – all risks that may be created, directly or indirectly, by any such condition.
COVID-19 Waiver of Liability
Camp Fire Minnesota is providing programs and access to its facilities in a manner consistent with CDC and State health and safety guidelines, which include, but are not limited to, providing enhanced sanitary services and requiring adherence to social distancing and mask wearing requirements. Camp Fire Minnesota cannot guarantee you [or your child(ren)] will not be exposed to, contracting, or spreading COVID-19 while utilizing our services or premises. It is not possible to fully prevent against the presence of the disease.
I understand that I and/or my participating child[ren], may be asked to leave camp early if I/they a) have any symptoms of COVID-19, (b) have a member of your household has tested positive for COVID-19 in the past 14 days (c) have any other household members who have symptoms for COVID-19 are waiting for test results (d) have been in close contact in the last 14 days with someone who has COVID-19 or been asked to quarantine
I agree that I am responsible for following CDC and State recommendations regarding social distancing while at Camp Fire Minnesota properties. I agree I am responsible for following any rules, regulations and directives for use of Camp Fire Minnesota properties
I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Camp Fire Minnesota, including its directors, officers, employees, agents, volunteers, participants, and all other persons or entities acting for it from any and all claims, demands, or causes of action which are in any way connected with my participation in this activity, or my use of their equipment or facilities, arising from negligence. This release does not apply to claims arising from intentional conduct. Should Camp Fire Minnesota or anyone acting on its behalf be required to incur attorney’s fees and costs to enforce this agreement, I, and my estate, agree to indemnify and hold them harmless for all such fees and costs. This release is to be interpreted and enforced under Minnesota law.
I understand that Camp Fire Minnesota may take video & voice recordings and photographs of the participants listed on this form. These may be used on Camp Fire's website, social network sites (like Facebook) and in publications. To opt-out of this release, you must email info@campfiremn.org with the subject line “Photo Release.”
I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel before signing. Also, I understand that this activity might not be made available to me if I choose not to sign this release. I have read and understood this document, and I agree to be bound by its terms.
