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Girl Scouts of Northern Illinois

Permission, Waiver and Release of Liability for Fall Fest

This form is a waiver and release of liability contract between Girl Scouts of Northern Illinois and the participants. Please read it carefully.

This form must be read and signed by the parent or legal guardian of the participant in order for the participant to take part in the activity/ies listed.

NOTES:

  • Camp McCormick reserve the right to deny participation in any of the activities below if facilitators deem the participant is not physically or mentally capable to participate.
  • This is a combined waiver. This does NOT mean your Girl Scout will participate in each of these activities.

Air Rifles Handling a gun and good marksmanship develop positive traits such as patience, discipline, determination, focus, attention to detail, and persistence. Since these skills are key elements of leadership and confidence, we encourage girls to take what they learn from any sport or activity and apply it in their lives, communities, and the world. Girl Scouts are not permitted to use air rifles unless they are 10 years old or older.

Clothing: Participants must follow clothing guidelines: Make sure girls and adults avoid wearing dangling earrings, bracelets, and necklaces that may become entangled in equipment. Tie back long hair. No crocs - all participants must wear closed-toe, closed-heel shoes.

Archery/Nerf Archery: There are a variety of styles and sizes of bows and arrows, but they’re all used for one purpose: to hit a target. Girls will develop skills based on proper procedures and form, handling equipment, getting the right stance, sighting, and observing safety practices. Only Nerf archery is permitted for Daisies, however they may participate in using slingshots as a progression to learning the rules and range commands for archery. Participants must be at least 5 years old to participate in any archery activity.

Clothing: Participants should be wearing appropriate clothing:

  • Avoid wearing dangling earrings, bracelets, and necklaces that may become entangled in equipment.
  • Tie back long hair.
  • Waterproof sunscreen (SPF of at least 15)
  • Hat and sunglasses
  • Closed toe, closed heel shoes. No Crocs.

Slingshots: Participants can utilize the new slingshot course at camp as a progression step for target range activities. The slingshot course follows range rules alongside archery and well as helping campers build aim, target skills, and hand-eye coordination. Participants must be at least 5 years old to participate in slingshot activity.

Clothing: Participants should be wearing appropriate clothing:

  • Avoid wearing dangling earrings, bracelets, and necklaces that may become entangled in equipment.
  • Tie back long hair.
  • Waterproof sunscreen (SPF of at least 15)
  • Hat and sunglasses. Participants will be provided with safety goggles, and eye protection must be worn at all times on the range.
  • Closed toe, closed heel shoes. No Crocs.

Tomahawk Throwing: A tomahawk is a type of single-handed axe from North America, traditionally resembling a hatchet with a straight handle. Some of the oldest weapons, tools, and hunting methods include axes, tomahawks, knives, and hatchets. Many are still used for traditional purposes in some areas today. *Girls must be 12 years or older to participate. Girls are not permitted to participate in Tomahawk Throwing unless they are 12 or older. 

Clothing: Participants should be wearing appropriate clothing:

  • Avoid wearing dangling earrings, bracelets, and necklaces that may become entangled in equipment.
  • No crocs - all participants must wear closed-toe, closed-heel shoes.
  • Tie back long hair.
  • Waterproof sunscreen (SPF of at least 15)
  • Hat and sunglasses

Mobile Rock Wall: Participants wear helmets and harnesses and are attached to a belay system staffed by trained and qualified individuals. The rope/belay/harness system is used to hold the participants safely as they climb the climbing wall or rappel down a tower. Participants work toward an individual goal with the help of the trained and qualified facilitators. The Mobile Rock wall is an auto belay system, and does not require helmets.  Participants must be at least 7 years old and weigh between 40-250 pounds. 

Clothing: Participants should be wearing appropriate clothing:

  • Close-fitting clothing (avoid wearing loose clothing, especially around the head and neck
  • Shoes must tie on and have rubber soles. No open toe or back. No Crocs!
  • Long hair tied back

Animal Interaction
Planned interaction with animals is a popular and desired activity for many Girl Scouts. From petting zoos to therapy dogs to rescue animals. Girls can learn about animals and have memorable experiences.

Unplanned interaction with animals can occur during other activities, such as hiking. Making a decision not to interact with an animal may provide a valuable learning opportunity as well.

This activity primarily focuses on planned animal interaction under a controlled environment, including all educational programs, wildlife tourism, and farm animals.

Learn More:

  • International Union for the Conservation of Nature
  • Benefits of interacting with animals: UVA School of Medicine study
  • Child safety around animals: HealthyChildren.org

Note:

  • Wash your hands well before and after touching animals.
  • Do not pet or otherwise disturb an animal that is sleeping or eating.
  • Stay away from an animals food.
  • Do not tease or abuse an animal.
  • Watch for warning signs the animal is agitated.
  • Never pet an unfamiliar dog, cat or other animal.
  • Be cautious about touching animals such as puppies and kittens within view of their mothers.


Permission, Waiver and Release of Liability: I give permission for my daughter/ward (or as an adult I agree) to participate in the activities marked “yes” below.

I acknowledge that there are inherent risks of injury or disability in these program activities. I further acknowledge that my daughter/ward (or myself) must follow the directions and safety rules of the program. I also acknowledge that the program may be cancelled if my daughter/ward (or myself) does not follow safety instructions and policies and/or my daughter/ward's (or my) behavior endangers the group.

I hereby give my daughter/ward, named below, permission to participate in the program activities, as are generally described above. I acknowledge that these activities involve inherent risks, such as falling and being injured. I hereby release, for myself, my daughter/ward, my heirs, executor, administrator, successor and/or assigns, Girl Scouts of Northern Illinois, its officers, employees, volunteers, and board members, from any claim, cause of action, demand or liability arising from or in connection with my daughter/ward’s participation in these activities conducted by the Girl Scouts of Northern Illinois.

Today's Date: May 19, 2026



Please select who will be participating...
AdultMinor
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First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
Information
For girls not currently registered as Girl Scouts: I understand my daughter is not covered by Girl Scouts of the USA Activity Insurance, but she has my permission to participate in this activity.*
No
Yes
For girls not currently registered as Girl Scouts: I understand my daughter is not covered by Girl Scouts of the USA Activity Insurance, but she has my permission to participate in this activity. *
Yes
No
Age *
Girl Scout Level*
Participation Date(s)
Year

If they are allowed to participate in 1 or more of the activities below, choose YES. If they are NOT allowed to participate at all, choose NO.

Air Rifles - Must be 10 years old and up *
Yes
No
Archery/Nerf Archery (Daisy Girl Scouts can only participate in Nerf Archery) *
Yes
No
Slingshots *
Yes
No
Tomahawk Throwing - Must be 12 years old and up *
Yes
No
Mobile Climbing Wall (Daisy Girl Scouts, grades K-1, are not permitted to use the Mobile Climbing Wall) *
Yes
No
Animal Interaction *
Yes
No
My Child or I may be photographed by a GSNI Council Staff Photographer. *
Yes, and GSNI may use my photographs for media promotion
No
First Participant's Signature*
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*
Confirm Email*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
I give permission for my daughter to participate in this Animal Interaction activity. I understand that there are inherent risks of injury or disability in this activity. I further understand that my daughter must follow the directions and safety rules of the activity. I have reviewed the GSUSA Animal Interaction Safety Activity Checkpoint. I also understand that the activity may be cancelled if my daughter does not follow safety instructions and policies and/or my daughter's behavior endangers herself or the group. The undersigned parent and/or legal guardian does hereby represent that he/she is, in fact, acting in such capacity and is fully responsible and agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian.


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 Date of Birth*
Date of Birth
Information
For girls not currently registered as Girl Scouts: I understand my daughter is not covered by Girl Scouts of the USA Activity Insurance, but she has my permission to participate in this activity.*
No
Yes
For girls not currently registered as Girl Scouts: I understand my daughter is not covered by Girl Scouts of the USA Activity Insurance, but she has my permission to participate in this activity. *
Yes
No
Age *
Girl Scout Level*
Participation Date(s)
Year

If they are allowed to participate in 1 or more of the activities below, choose YES. If they are NOT allowed to participate at all, choose NO.

Air Rifles - Must be 10 years old and up *
Yes
No
Archery/Nerf Archery (Daisy Girl Scouts can only participate in Nerf Archery) *
Yes
No
Slingshots *
Yes
No
Tomahawk Throwing - Must be 12 years old and up *
Yes
No
Mobile Climbing Wall (Daisy Girl Scouts, grades K-1, are not permitted to use the Mobile Climbing Wall) *
Yes
No
Animal Interaction *
Yes
No
My Child or I may be photographed by a GSNI Council Staff Photographer. *
Yes, and GSNI may use my photographs for media promotion
No
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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