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CAMP MOONLIGHT REGISTRATION AGREEMENT

My child, hereinafter “Participant,” will be participating in Camp Moonlight.  As consideration for my child’s participation in Camp Moonlight, I agree as follows:

1. Acknowledgement and Assumption of Inherent Dangers and Risks.

I have carefully read, understand the terms of, and have signed and agreed to the terms of the “Camp Moonlight Acknowledgement and Assumption of Inherent Dangers and Risks” on behalf of myself and Participant.  I, on behalf of myself and Participant, and our heirs, executors, administrators, legal representatives, assigns, and successors in interest, agree to be bound by the terms of that Acknowledgement and Assumption of Inherent Dangers and Risks. 


2. Insurance.

I, on behalf of myself and Participant, currently maintain and agree to maintain throughout Participant’s Camp Moonlight participation, valid and sufficient medical and accident insurance.  I agree to maintain such insurance at my own expense.  I understand that maintaining such insurance is my sole responsibility, and I release all persons and entities from providing medical or accident insurance coverage for Participant.


3. Medical Care.

I authorize Camp Moonlight personnel to provide any first aid they may deem necessary for Participant’s health. In the event Participant is in need of emergency medical treatment and I cannot reasonably be reached at the phone number listed below, I hereby authorize Camp Moonlight, any of Camp Moonlight’s employees or representatives, and/or emergency responders to seek emergency medical treatment for Participant.  I further authorize any medical care provider to carry out first aid or other emergency care.  I further authorize Camp Moonlight personnel to share Participant’s health information with any medical care provider or emergency responder.  I accept responsibility and agree to indemnify any party seeking or carrying out such emergency medical treatment for all medical care and expenses, and such obligation will survive Participant’s participation in Camp Moonlight and termination of this Registration Agreement.  


4. Vehicle Permission.

I understand that Participant may be transported to and from outdoor teaching sites and on-site facilities in connection with Camp Moonlight activities.  I authorize Camp Moonlight to transport Participant in motor vehicles operated by Camp Moonlight personnel.


5. Indemnification and Agreement to Defend.

I, on behalf of myself and Participant, and our heirs, executors, administrators, legal representatives, assigns, and successors in interest, agree to the fullest extent permitted by law, to defend, indemnify, and hold harmless, Camp Moonlight, MB MT Acquisition LLC, Big Sky Resort, LLC, The Big Sky Community Organization d/b/a Historic Crail Ranch, Moonlight Community Foundation, Gallatin River Task Force, Montana Conservation Corps, Inc., Adventure Outfitters, LLC d/b/a as Big Sky Horse Rides at Moonlight, Madison Conservation District, Hungry Moose Market, Inc. d/b/a The Hungry Moose Market and Deli, Rich Addicks Photography, Grizzly and Wolf Discovery Center, U.S. Forest Service and each of their affiliated or parent companies, subsidiaries, officers, directors, members, managers, employees, agents, guides, trainers, doctors, officials, organizers, concessionaires, volunteers or sponsors (collectively, the “Indemnified Parties”) from any and all claims, demands, causes of action, damages, liabilities and costs, including reasonable attorneys’ fees and costs, arising from or in any way related to Camp Moonlight Activities or my child’s participation in Camp Moonlight Activities, including but not limited to those claims, demands, causes of action, damages, liabilities and costs that may arise from the inherent dangers and risks of the Camp Moonlight Activities.  I am not obligated to indemnify the Indemnified Parties for the Indemnified Parties’ own negligent act, errors, or omissions.  This provision shall survive Participant’s participation in Camp Moonlight and termination of this Registration Agreement.


6. Photo Release.

I hereby authorize the Indemnified Parties to use my or Participant’s photograph(s) and photographs taken of me or of Participant, in all forms and media, medium, format, or platform now existing or hereinafter created and in all manners, including but not limited to in composite or other representations, in brochures, in advertising, and for any other lawful purposes, in perpetuity and without further consent from or any royalty, payment, or other compensation to me, and I waive any right to inspect or approve such use of the photographs. 


7. Severability.

Each provision of this Registration Agreement, including but not limited to the provisions of the Camp Moonlight Acknowledgement and Assumption of Inherent Dangers and Risks, which have been incorporated into this Registration Agreement by reference in Section 1, above, shall be considered severable and if for any reason any provision which is not essential to the effectuation of the basic intent of this Registration Agreement is determined to be invalid, such invalidity shall not impair the operation or effect of those provisions of this Registration Agreement which are valid.


8. Choice of Law and Venue.

This agreement shall be governed by the laws of the State of Montana.  Venue for any litigation arising out of this Agreement shall be in the courts of Madison County, Montana or the division of the U.S. District Court for the District of Montana that may hear cases otherwise that would be venued in Madison County, Montana if brought in state court.


9.Term.

This Registration Agreement shall be effective until terminated in writing by MB MT Acquisition LLC.


10. Authority.

I verify that I am the parent or guardian of the minor child identified above and have the authority to enter this Registration Agreement for the minor.  I have carefully read this complete Registration Agreement, fully understand its contents, and sign the same of my own free will and accord on behalf of myself and my child.


First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Allergies or Special Needs
Does your child have allergies or special needs? *
YES
NO

The following allergies or special needs:
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Allergies or Special Needs
Does your child have allergies or special needs? *
YES
NO

The following allergies or special needs:
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Allergies or Special Needs
Does your child have allergies or special needs? *
YES
NO

The following allergies or special needs:
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Allergies or Special Needs
Does your child have allergies or special needs? *
YES
NO

The following allergies or special needs:
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Allergies or Special Needs
Does your child have allergies or special needs? *
YES
NO

The following allergies or special needs:
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Allergies or Special Needs
Does your child have allergies or special needs? *
YES
NO

The following allergies or special needs:
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Allergies or Special Needs
Does your child have allergies or special needs? *
YES
NO

The following allergies or special needs:
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Allergies or Special Needs
Does your child have allergies or special needs? *
YES
NO

The following allergies or special needs:
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Allergies or Special Needs
Does your child have allergies or special needs? *
YES
NO

The following allergies or special needs:
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Allergies or Special Needs
Does your child have allergies or special needs? *
YES
NO

The following allergies or special needs:
Parent or Guardian's Email Address
Email*
Confirm Email*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
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*
Last Name*
Relationship*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Allergies or Special Needs
Does your child have allergies or special needs? *
YES
NO

The following allergies or special needs:
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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