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A camp experience close to home.

Who: Students finishing Grades 8-12
Dates: July 8, 15, 22, 29, August 5, 12, 19 and 26
Time: 7:00-10:00pm
What to bring: Swimsuit, extra clothes, and be prepared to get dirty!
Admission: Free!

Form Overview
1. Witness (3rd party) signature
2. Parent/Guardian permission and signature
3. Email Confirmation

Signature of Witness:

 I attest that I have witnessed the signing of the following waiver and that I am over the age of 18 years.  

 

ASSUMPTION OF RISK
I acknowledge and agree that:

  1. I wish for my child to participate in Camp Nights 2021 on June 28th, 2021 at Stephen Ropp’s acreage, Doreen Ropp’s acreage and Ramer Ranches. Activities will include beach volleyball, horse drawn or tractor pulled wagon rides, swimming in a dug out, canoeing, kayaking, paddle boarding, slip and slide, use of hammocks, a water fight, laser tag, gaga pit, nine square, slack line, a mud pit, campfire, bonfire, flag football, organized games, and food. I have read and understand the pertinent details of Camp Nights 2021.
  2. That I am aware of the inherent risks associated with my child’s participation in Camp Nights 2021. I am aware, and willingly acknowledge and accept, without limitation, that Camp Nights 2021 involves risk of personal injury which may include death, loss, damage to personal property, or damage to the personal property of others without any fault of either myself, my child, other individuals, employees or volunteers of One Hope Youth Outreach (“OHYO”), Newell Christian Community(“NCC”), Doreen Ropp, Ramer Ranches, or Bridges of Hope (“BOH”) and their employees, volunteers, directors, officers, or guests. In acknowledgement of these risks I agree to assume all risks for all injuries, including but not limited to, death to my child or others including all damage or loss to my child, a third party, or personal property that may result from my child’s participation in Camp Nights 2021.
  3. I am aware that it is my responsibility, and the responsibility of my child, to assess whether my child is physically or mentally capable of participating in Camp Nights 2021 and that I have not in any way been persuaded or influenced to sign this agreement or to allow my child to participate in Camp Nights 2021. Furthermore, no representations or warranties have been made to me on any matter including, but not limited to, the risks, hazards, conditions, nature of Camp Nights 2021, or with respect to my child’s ability to participate in Camp Nights 2021.
  4. After careful consideration, I have, of my own will and determination, decided to allow my child to participate in Camp Nights 2021, and I attest that I have or will carefully review any safety instructions or other materials communicated or provided to me in connection with my child’s participation in Camp Nights 2021.

WAIVER OF CLAIMS, RELEASE AND INDEMNITY
In consideration of OHYO, NCC, BOH, Doreen Ropp and Ramer Ranches agreeing to my participation in Camp Nights 2021, and permitting my use of the equipment associated with Camp Nights 2021, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows:

  1. General Release of Liability and Waiver of Claims
    TO WAIVE, RELEASE, AND FOREVER DISCHARGE ANY AND ALL CLAIMS that I have or may have in the future against OHYO, NCC, BOH, Doreen Ropp, Ramer Ranches, their sponsors, directors, officers, employees, volunteers, members, agents, guests, and contractors (all of whom hereinafter are collectively referred to as the “Releasees”) and to release the Releasees and their respective successors and assigns from any and all liability for any loss, damage, expense, or injury including death that I or my child may suffer, or that my next of kin may suffer as a result of my or child’s participation in Camp Nights 2021, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE ON THE PART OF THE RELEASEES, AND FURTHER INCLUDING FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS, AND HAZARDS OF DRENCHED 2021.
  2. Hold Harmless and Indemnity Agreement
    TO DEFEND, HOLD HARMLESS AND INDEMNIFY THE RELEASEES and their respective successors andassigns from any and all liability, claims, actions, causes of action, and demands of whatever kind ornature either in law or in equity, whether foreseen or unforeseen, which may arise or hereafter arisefrom my child’s participation in Camp Nights 2021, or for any damage to property of, or personal injury to,any third party, resulting from such participation, and for all costs, including legal fees in connectionwith such claims.
    I UNDERSTAND AND AGREE THAT I am not only giving up the right to sue the Releasees on my ownbehalf and on behalf of my child, but also any right of my respective heirs, personal representatives,next of kin, executors, administrators, and assigns may have to sue resulting from the injury or death ofmy child.
  3. Severability
    In the event that a court of competent jurisdiction finds any term or clause of this Agreement to be invalid, unenforceable, or illegal the same will not have an impact on other terms or clauses in the Agreement or the entire Agreement. However, such a term or clause may be revised to the extent required according to the opinion of the court to render the Agreement enforceable or valid, and the rights and responsibilities of the parties shall be interpreted and enforced accordingly so as to preserve their agreement and intent to the fullest possible extent.
  4. Pictures
    I agree to have appropriate pictures or video of my child taken during Camp Nights 2021, to be published on OHYO event bulletins, newsletters or public display (including online.)

BY SIGNING THIS DOCUMENT, YOU WILL WAIVER CERTAIN LEGAL RIGHTS, INCLUDING THE
RIGHT TO SUE, AND AGREE TO ASSUME LEGAL OBLIGATIONS.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Additional Information

List medical conditions/allergies
Is this your first time here?
Yes
No
School attended (if any)*

School attended (if other selected)
Grade in September 2019*

Grade in September 2019 (if other selected)
Home Youth Group*

Home Youth Group (if other selected)
Participant Contact Preference *
Home Phone
Text
Email
Social Media

Participant Contact Information *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Additional Information

List medical conditions/allergies
Is this your first time here?
Yes
No
School attended (if any)*

School attended (if other selected)
Grade in September 2019*

Grade in September 2019 (if other selected)
Home Youth Group*

Home Youth Group (if other selected)
Participant Contact Preference *
Home Phone
Text
Email
Social Media

Participant Contact Information *
Third Participant's Name

First Name*

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Additional Information

List medical conditions/allergies
Is this your first time here?
Yes
No
School attended (if any)*

School attended (if other selected)
Grade in September 2019*

Grade in September 2019 (if other selected)
Home Youth Group*

Home Youth Group (if other selected)
Participant Contact Preference *
Home Phone
Text
Email
Social Media

Participant Contact Information *
Fourth Participant's Name

First Name*

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Additional Information

List medical conditions/allergies
Is this your first time here?
Yes
No
School attended (if any)*

School attended (if other selected)
Grade in September 2019*

Grade in September 2019 (if other selected)
Home Youth Group*

Home Youth Group (if other selected)
Participant Contact Preference *
Home Phone
Text
Email
Social Media

Participant Contact Information *
Fifth Participant's Name

First Name*

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Additional Information

List medical conditions/allergies
Is this your first time here?
Yes
No
School attended (if any)*

School attended (if other selected)
Grade in September 2019*

Grade in September 2019 (if other selected)
Home Youth Group*

Home Youth Group (if other selected)
Participant Contact Preference *
Home Phone
Text
Email
Social Media

Participant Contact Information *
Sixth Participant's Name

First Name*

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Additional Information

List medical conditions/allergies
Is this your first time here?
Yes
No
School attended (if any)*

School attended (if other selected)
Grade in September 2019*

Grade in September 2019 (if other selected)
Home Youth Group*

Home Youth Group (if other selected)
Participant Contact Preference *
Home Phone
Text
Email
Social Media

Participant Contact Information *
Seventh Participant's Name

First Name*

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Additional Information

List medical conditions/allergies
Is this your first time here?
Yes
No
School attended (if any)*

School attended (if other selected)
Grade in September 2019*

Grade in September 2019 (if other selected)
Home Youth Group*

Home Youth Group (if other selected)
Participant Contact Preference *
Home Phone
Text
Email
Social Media

Participant Contact Information *
Eighth Participant's Name

First Name*

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Additional Information

List medical conditions/allergies
Is this your first time here?
Yes
No
School attended (if any)*

School attended (if other selected)
Grade in September 2019*

Grade in September 2019 (if other selected)
Home Youth Group*

Home Youth Group (if other selected)
Participant Contact Preference *
Home Phone
Text
Email
Social Media

Participant Contact Information *
Ninth Participant's Name

First Name*

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Additional Information

List medical conditions/allergies
Is this your first time here?
Yes
No
School attended (if any)*

School attended (if other selected)
Grade in September 2019*

Grade in September 2019 (if other selected)
Home Youth Group*

Home Youth Group (if other selected)
Participant Contact Preference *
Home Phone
Text
Email
Social Media

Participant Contact Information *
Tenth Participant's Name

First Name*

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Additional Information

List medical conditions/allergies
Is this your first time here?
Yes
No
School attended (if any)*

School attended (if other selected)
Grade in September 2019*

Grade in September 2019 (if other selected)
Home Youth Group*

Home Youth Group (if other selected)
Participant Contact Preference *
Home Phone
Text
Email
Social Media

Participant Contact Information *
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information and news about OHYO by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Witness Information (signature at top of document)

Name of witness

Witness phone number or email
Additional Information

Please RSVP before midnight June 28, so we have enough food.
If you have questions, you can contact Stephen Ropp by phone: (403) 501-4169 or by email: onehopeyouthoutreach@gmail.com

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*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Additional Information

List medical conditions/allergies
Is this your first time here?
Yes
No
School attended (if any)*

School attended (if other selected)
Grade in September 2019*

Grade in September 2019 (if other selected)
Home Youth Group*

Home Youth Group (if other selected)
Participant Contact Preference *
Home Phone
Text
Email
Social Media

Participant Contact Information *
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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