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Please use this form for Retreats with Paintball

RISK RELEASE Walcamp offers programs that may involve the participants in activities in which walking, sitting, running, lifting, swinging, carrying, climbing and /or other physical activity may take place. While every effort will be made by Walcamp to keep the entire experience as safe as possible, the very nature of the activities is such that there is a potential for possible injury. By signing this form, you are acknowledging that you are aware and understand the risk involved in these activities. If you have a particular medical condition that makes you more susceptible to injury, then you will inform Walcamp of any such condition requiring greater care; otherwise, Walcamp is released from any injury sustained or aggravated as a result of such condition. If you do not understand the nature of the risk involved, you acknowledge that you can contact Walcamp and question us until you are satisfied with your level of knowledge needed to make a responsible decision. Your signature also signifies that you acknowledge that you are participating in these activities by your own free choice and you also have the choice and the right to refuse to participate in any activity, or part of any activity, that you personally do not feel safe or comfortable with. You will agree to comply with the rules and regulations set forth by the Walcamp Staff and/or other policies and procedures that may be in effect. If you have the slightest concern about your physical health while participating in these activities you must contact a medical or health professional before participating to ensure your suitability. 

I Agree

December 10, 2019

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*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
PHOTO RELEASE
I hereby grant Walcamp Outdoor Ministries and the National Lutheran Outdoors Ministry Association the absolute right and permission to copy right and use, reuse, publish and republish photographic materials of me /my child to illustrate, promote and advertise Walcamp Outdoor Ministries, NLOMA, Christian Camp and Conference Association and their programs in print and on websites. Those 18 and younger must have the signature of a parent/guardian. *
I agree
I Disagree
Paintball Release
In consideration of participating in the SPORT OF PAINTBALL I represent, that I understand the nature of the Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participating in the Activity. I fully understand that this Activity involve risks of serious bodily injury, Including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, of others participating in the event, the conditions in which the event takes place, or the negligence of the "releases" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs and damages I incur as a result of my participation in the Activity. I hereby release, discharge, and covenant not to sue WALCAMP OUTDOOR MINISTRIES, its Respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASES" herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence or the "Releases" or otherwise, including negligent rescue operations; and I further agree that if, despite the release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releases, I will indemnify, save and hold harmless each of the releases from any loss, liability, damage, or cost which any may incur as the result of such claim I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement and assurance of any nature and intend it be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to by valid the balance, notwithstanding, shall continue in full force and effect. *
I Agree
I Disagree
Name of the Group you are attending with.

Enter the Name and City of the Group you are attending with. *
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.
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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