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CAMP PHY ED PARTICIPANT RELEASE AND WAIVER 

THIS DOCUMENT MUST BE COMPLETED AND SIGNED BY A PARENT OR LEGAL GUARDIAN OF THE PARTICIPANT IDENTIFIED BELOW PRIOR TO A CHILD’S PARTICIPATION IN CAMP PHY ED.

 

I, the undersigned parent or legal guardian of the child identified above, desires to permit my child to participate in Camp Phy Ed (the “Camp”) provided by Camp Phy Ed, LLC (“Company”).   In consideration of being permitted by the Company to participate in Camp and in recognition of the Company’s reliance of this release and waiver (“Release”), I agree to release and discharge from liability Company and its owners, directors, officers, employees, agents, volunteers, participants, and all other persons or entities acting for them (collectively referred to as “Releasees”), on behalf of myself and my children, parents, heirs, assigns, personal representative and estate, and also agree as follows:

 

1.      Acknowledgement of Risk. I acknowledge that participating in Camp and Camp activities involves known and unanticipated risks which could result in illness, physical or emotional injury, psychological injury, pain, suffering, paralysis, temporary or permanent disability, death, property damage and financial loss. Risks include, but are not limited to, concussions, broken bones, torn ligaments or other injuries as a result of falls or contact with other participants; medical conditions resulting from physical activity; damaged clothing or other property; and the transmission of viruses and other illnesses, such as COVID-19. I understand such risks simply cannot be eliminated, despite the use of safety equipment, without jeopardizing the essential qualities of the activity.

 

2.      Waiver and Release. I hereby expressly waive and release any and all claims, now known or hereafter known, against the Releasees arising out of or attributable to my child participating in the Camp, whether arising out of negligence of any of the Releasees or otherwise. I covenant not to make or bring any such claim against the Company or other Releasee, and forever release and discharge the Company and all other Releasees from liability for such claims. Should Company, any Releasee or anyone acting on their behalf be required to incur attorney’s fees and costs to enforce this agreement, I agree to be responsible for paying all such fees and costs.

 

3.      Assumption of Risk. I expressly accept and assume all of the risks inherent in this activity or that might have been caused by the negligence of the Releasees. My/My child’s participation in these activities is purely voluntary and we elect to participate despite the risks. In addition, if at any time I believe that event conditions are unsafe or that I or my child are unable to participate due to physical or medical conditions, then I will immediately discontinue participation.

 

4.      Insurance. I represent that I have adequate insurance to cover any injury or damage I or my child may suffer or cause while participating in Camp, or else I agree to bear the costs of such injury or damage myself. I further represent that I/my child have no medical or physical conditions which could interfere with our safety in these activities, 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.

 

5.      Enforcement. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

 

6.      Transportation/Medical. If I or my child need immediate medical attention for injuries received while participating in a Camp program, I authorize the Company staff to give me or my child reasonable first aid, and to arrange transport of myself or my child to a health care facility for emergency services as needed.  

 

7.      Prescriptions. If I or my child requires use and administration of an epi-pen, prescription or over the counter medication, it is my responsibility to ensure that the epi-pen and/or medication are on me or my child or within our personal belongings every day of the program. If Company staff is required to administer and use the epi-pen and/or medication, I agree to forever release and discharge the Company and the other Releasee from any and all liability arising out of or resulting from use or administration of the epi-pen and/or medication.

 

By signing this document, I AM EXPRESSING MY UNDERSTANDING AND INTENT TO ENTER INTO THIS RELEASE AND WAIVER OF LIABILITY WILLINGLY AND VOLUNTARILY.

 

I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to signing. I have read and understood this document and I agree to be bound by its terms.  


Today's Date: April 26, 2025

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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