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Edward Milne Community School Society (referred to as EMCS Society) and their directors, officers, employees, instructors, guides, agents, representatives, volunteers, sponsors, independent contractors, subcontractors, successors and assigns (all of whom are hereinafter collectively referred as the EMCS Society).

ASSUMPTION OF RISKS

As a parent or legal guardian of the participant named above, I hereby acknowledge that I am aware of the risks associated with my child’s participation in the summer camp activities. I understand that summer camp activities involve certain inherent risks, including but not limited to:

a. The risk of injury resulting from participation in physical activities and sports.

b. The risk of accidents or injuries during outdoor activities such as hiking.

c. The potential for injuries from interactions with wildlife or natural elements.

d. The risk of illness or injury from exposure to environmental factors such as extreme weather conditions.

MEDICAL AUTHORIZATION: I authorize the camp staff to seek medical treatment for my child in the event of an emergency if they are unable to communicate their wishes. I also agree to be responsible for any medical expenses incurred as a result of such treatment.

RELEASE OF LIABILITY: I hereby release, waive, discharge, and covenant not to sue the camp organizers, its directors, employees, volunteers, and agents from any and all liability, claims, demands, actions or causes of action arising out of my child’s participation in the summer camp activities.

INDEMNIFICATION: I agree to indemnify and hold harmless EMCS Society camps, its directors, employees, volunteers, and agents from any and all liability, claims, demands, actions, or causes of action arising out of my child’s participation in the summer camp activities.

PHOTOGRAPHIC RELEASE: I grant permission for photographs or videos of my child to be taken during the camp and for the use of such materials for promotional purposes without any compensation to me.

SUPERVISION AND SAFETY: I understand that while the camp staff will make every effort to supervise and ensure the safety of all participants during activities, it may not be possible to provide constant supervision at all times. I trust in the camps safety protocols and procedures to mitigate risks to the best of their ability. I agree to encourage my child to follow all safety guidelines and instructions provided by camp staff to ensure their well-being throughout the camp duration.

If my child is under the age of 18, I have read and agree to this waiver on their behalf.

I have read this waiver carefully and understand its contents. I am aware that by signing this waiver, I am giving up certain legal right and remedies on behalf of my child. I voluntarily sign this waiver as my own free act and on behalf of my child.

Today's Date: April 30, 2026

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 Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Allergies/Dietary Restrictions
Does your child have any allergies or dietary restrictions?*
No
Yes

Please describe

Please note any medical conditions, fears, trauma, triggers that we should know about

Please describe

Pick Up Information
Name *
Phone Number *
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant
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*
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 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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