Association of the Churches of God in Oregon, Inc. (The “Association”)
I am the parent or legal guardian of this registered child, a minor ("Participant"). I agree that the Participant may participate in the Association’s program. I understand that during the program, the Participant will be involved in indoor and outdoor physical activities which I agree entail both known and unknown inherent risks, deriving from, but not limited to, equipment malfunctions, building malfunctions, lack of supervisions and/or trained assistants; lack of proper equipment or padding, netting, or other safety measures; slipping, falling, colliding with fixed objects or other people, as well as the negligence act/or omissions committed by me, my child(ren)/ward(s), or employees or volunteers of the Association. Physical reactions to exercise may include heat-related illness, abnormal heartbeats and blood pressure and, in rare instances, events such as heart attacks. While the Association takes all reasonable precautions, we can make no guarantees regarding these and other risks. Recognizing the risks of the program, and in consideration for allowing the Participant to participate in the program, I hereby release, discharge and agree to hold harmless, and to indemnify the Association, their trustees, directors, officers, contributors, sponsors, congregation, volunteers, employees, contractors, agents representatives and assigns against and from any causes of action, claims, demands, damages, costs, loss of services, expenses, compensation, all consequential damages and attorneys' fees (regardless whether pursuant to the laws of any county, state or country) claimed by, through or on behalf of me or the Participant related directly or indirectly to the program, and specifically including any and all claims for personal injuries sustained while participating in program activities without regard to negligence or negligent conditions.
Medical Release
In addition, I hereby authorize the Association, if after a reasonable attempt has been made to reach a parent, guardian or emergency contact to obtain consent, or if sound medical practice decrees that there is not time to make such an attempt, to consent to any x-ray examination, anesthetic, dental, medical or surgical diagnosis or treatment, and hospital care, to be rendered to the Participant under the general or special supervision and on the advice of any physician or surgeon who may treat the Participant, and consent to any x-ray examination, anesthetic, dental, medical or surgical diagnosis or treatment and hospital care, to be rendered to the Participant by any health care professional who may treat the Participant. I agree to pay for any such treatment and to reimburse the Association, for all costs and expenses it may incur related to such treatment.
Photo / Video Release
I hereby authorize and give full consent to the Association of the Churches of God in Oregon, Inc. to use all photographs and videos in which my youth appears while involved in the Association’s program. Photographs and videos will be used exclusively for ministry purposes of the Association of the Churches of God in Oregon, Inc.
I expressly agree that this consent is intended to be as broad and inclusive a release of liability as permitted by applicable law and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I hereby warrant and represent that I am 18 years old or older; I have carefully read this consent and agree to its terms and conditions, that before signing this agreement I had the chance to ask questions; and I am aware that by signing this consent, I assume all risks and waive and release certain substantial rights that I and participant may have or possess against the Association. To the extent permitted by applicable law, I hereby irrevocably and unconditionally waive trial by jury in any legal action or proceeding related to this agreement.
I have fully read the above permissions and releases, understand them, and I expressly agree to them. I hereby certify that there are no contraindications to the Participant's participation in the Association’s program. I am the parent or legal guardian of the Participant, and this permission and release is binding on me and my executor, administrators and heirs and assigns.
Coronavirus/Communicable/Infectious Disease Waiver
Coronaviruses, like COVID-19, SARS, and the common cold, are a large family of viruses that can cause mild to severe upper or lower respiratory infections. Coronaviruses are contagious and believed to be spread by person-to-person contact. As a preventative measure, Camp White Branch follows and recommends safety practices from federal, state, and/or local authorities designed to reduce the spread of coronaviruses.
Camp White Branch cannot guarantee that I (or my minor child) will not be exposed to, become infected with, or suffer injury from a coronavirus or other communicable/infectious disease or sickness while on the premises, while traveling to any organizational activity, or while engaged in any organization-related activity.
By signing this agreement, I acknowledge the contagious nature of coronaviruses and other communicable/infectious diseases and sicknesses. I voluntarily assume the risk that I (or my minor child) may be exposed to, infected by, or suffer injury from a coronavirus or other communicable/infectious disease or sickness while at the organization, while being transported in connection with the organization, or while participating in organization-related activity. I further acknowledge that such exposure or infection may result in bodily injury, personal injury, emotional injury, illness, permanent disability and/or death, as well as medical expenses and other costs for myself (or my minor child).
I understand that the risk of becoming exposed to, infected by, or injured from a coronavirus or other communicable/ infectious diseases or sicknesses at Camp White Branch may result from the acts, errors, omissions, or negligence of myself and others, including, but not limited to, Camp White Branch or any Association of Churches of God of Oregon and SW Washington, leaders, employees, volunteers, and other participants. I voluntarily agree to assume all the foregoing risks and accept sole responsibility for any injury, illness, or death to myself (or my minor child).
On behalf of myself (or my minor child), I hereby release and promise to indemnify, defend, and hold harmless Camp White Branch, its employees, leaders, owners, agents, and representatives, of and from any claim of any kind. A claim includes all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to the exposure to, contraction of, or injury from a coronavirus or other communicable/infectious disease or sickness.
Association of the Churches of God in Oregon, Inc. (The “Association”)
I wish to participate in the Association’s program. As a Participant, I understand that during the program I will be involved in indoor and outdoor physical activities which I agree entail both known and unknown inherent risks, deriving from, but not limited to, equipment malfunctions, building malfunctions, lack of supervisions and/or trained assistants; lack of proper equipment or padding, netting, or other safety measures; slipping, falling, colliding with fixed objects or other people, as well as the negligence act/or omissions committed by me, my child(ren)/ward(s), or employees or volunteers of the Association. Physical reactions to exercise may include heat-related illness, abnormal heartbeats and blood pressure and, in rare instances, events such as heart attacks. While the Association takes all reasonable precautions, we can make no guarantees regarding these and other risks. Recognizing the risks of the program, and in consideration for allowing the me to participate in the program, I hereby release, discharge and agree to hold harmless, and to indemnify the Association, their trustees, directors, officers, contributors, sponsors, congregation, volunteers, employees, contractors, agents representatives and assigns against and from any causes of action, claims, demands, damages, costs, loss of services, expenses, compensation, all consequential damages and attorneys' fees (regardless whether pursuant to the laws of any county, state or country) claimed by, through or on behalf of me related directly or indirectly to the program, and specifically including any and all claims for personal injuries sustained while participating in program activities without regard to negligence or negligent conditions.
Medical Release
In addition, I hereby authorize the Association, if after a reasonable attempt has been made to reach an emergency contact to obtain consent, or if sound medical practice decrees that there is not time to make such an attempt, to consent to any x-ray examination, anesthetic, dental, medical or surgical diagnosis or treatment, and hospital care, to be rendered to me under the general or special supervision and on the advice of any physician or surgeon who may treat me, and consent to any x-ray examination, anesthetic, dental, medical or surgical diagnosis or treatment and hospital care, to be rendered to me by any health care professional who may treat me. I agree to pay for any such treatment and to reimburse the Association, for all costs and expenses it may incur related to such treatment.
Photo / Video Release
I hereby authorize and give full consent to the Association of the Churches of God in Oregon, Inc. to use all photographs and videos in which I appear while involved in the Association’s program. Photographs and videos will be used exclusively for ministry purposes of the Association of the Churches of God in Oregon, Inc.
I expressly agree that this consent is intended to be as broad and inclusive a release of liability as permitted by applicable law and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I hereby warrant and represent that I am 18 years old or older; I have carefully read this consent and agree to its terms and conditions, that before signing this agreement I had the chance to ask questions; and I am aware that by signing this consent, I assume all risks and waive and release certain substantial rights that I may have or possess against the Association. To the extent permitted by applicable law, I hereby irrevocably and unconditionally waive trial by jury in any legal action or proceeding related to this agreement.
I have fully read the above permissions and releases, understand them, and I expressly agree to them. I hereby certify that there are no contraindications to my participation in the Association’s program. I am the Participant, and this permission and release is binding on me and my executor, administrators and heirs and assigns.
Coronavirus/Communicable/Infectious Disease Waiver
Coronaviruses, like COVID-19, SARS, and the common cold, are a large family of viruses that can cause mild to severe upper or lower respiratory infections. Coronaviruses are contagious and believed to be spread by person-to-person contact.1 As a preventative measure, Camp White Branch follows and recommends safety practices from federal, state, and/or local authorities designed to reduce the spread of coronaviruses.
Camp White Branch cannot guarantee that I (or my minor child) will not be exposed to, become infected with, or suffer injury from a coronavirus or other communicable/infectious disease or sickness while on the premises, while traveling to any organizational activity, or while engaged in any organization-related activity.
By signing this agreement, I acknowledge the contagious nature of coronaviruses and other communicable/infectious diseases and sicknesses. I voluntarily assume the risk that I (or my minor child) may be exposed to, infected by, or suffer injury from a coronavirus or other communicable/infectious disease or sickness while at the organization, while being transported in connection with the organization, or while participating in organization-related activity. I further acknowledge that such exposure or infection may result in bodily injury, personal injury, emotional injury, illness, permanent disability and/or death, as well as medical expenses and other costs for myself (or my minor child).
I understand that the risk of becoming exposed to, infected by, or injured from a coronavirus or other communicable/ infectious diseases or sicknesses at Camp White Branch may result from the acts, errors, omissions, or negligence of myself and others, including, but not limited to, Camp White Branch or any Association of Churches of God of Oregon and SW Washington, leaders, employees, volunteers, and other participants. I voluntarily agree to assume all the foregoing risks and accept sole responsibility for any injury, illness, or death to myself (or my minor child).
On behalf of myself (or my minor child), I hereby release and promise to indemnify, defend, and hold harmless Camp White Branch, its employees, leaders, owners, agents, and representatives, of and from any claim of any kind. A claim includes all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to the exposure to, contraction of, or injury from a coronavirus or other communicable/infectious disease or sickness.
