Summer Camp Waiver
RELEASE, DISCHARGE, WAIVER, AND HOLD HARMLESS AGREEMENT AND THE ASSUMPTION OF RISK
MEDICAL ATTENTION: I hereby authorize any staff member and/or adult sponsor who may be supervising or directing any activity sponsored by Grove Avenue Baptist Church and/or Grove Christian School, to authorize medical treatment, including but not limited to emergency surgery. I agree to assume liability for any and all costs and expenses incurred; including medical and dental costs, and that Grove Avenue Baptist Church and/or Grove Christian School, its staff, employees, and sponsors with them are not responsible.
LIABILITY RELEASE: I understand that the risk of injury from any recreational and camp activity is significant, including, but not limited to, the potential for permanent paralysis and death. While particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist. I knowingly and freely assume all risks, both known and unknown, even if arising from negligence, and assume full responsibility for my student’s participation and observing of such recreational and work activities. I do hereby release, forever discharge, and covenant to hold harmless Grove Avenue Baptist Church and/or Grove Christian School, its staff, employees, and sponsors from any and all liability, claims or demands for personal injury, sickness and death, as well as property damage and expenses, of any nature whatsoever while participating in any event sponsored by Grove Avenue Baptist Church and/or Grove Christian School, including travel to and from any church and school camp activities. This agreement also applies to any and all activities on or off church property.
BELONGINGS: I give authority and permission to Grove Avenue Baptist Church and/or Grove Christian School, its staff, employees, and sponsors to inspect my student’s belongings.
PERMISSION FOR USE OF PICTURES: Photos or videos taken of my student during any event may be used to promote and/or report on the event in any Grove Avenue Baptist Church and/or Grove Christian School advertising, publication or media. Names of minors will not be used.
PERMISSION TO PARTICIPATE: I hereby grant my permission for my child to participate fully in any and all events and/or activities that are a part of any program at Grove Avenue Baptist Church and/or Grove Christian School.
ASSUMPTION OF RISK: Attendee recognizes that the global pandemic of COVID-19 is far-reaching and that gathering in any number of individuals, even with safety precautions, presents a risk that COVID-19 could be contracted or spread as a result of my participation in camp activities at Grove Avenue Baptist Church (“Grove Avenue”) and Grove Christian School. Pursuant to guidelines from the US Center of Disease Control and the Commonwealth of Virginia, Grove Avenue has put precautions in place to reduce the spread of COVID-19 on its premises; however, Grove Avenue cannot guarantee that you or your family, including your child(ren), will not become exposed to or infected with COVID-19. Those who are infected with COVID-19 can face serious and debilitating health consequences or even death as a result. Much about COVID-19 remains unknown; however, it is believed that certain physical distancing, personal protective equipment (i.e. masks), and sanitation protocols may help to reduce the risk of spreading or contracting COVID-19 but cannot eliminate it completely. By completing and submitting this RSVP application, I* acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I and/or my child(ren) may be exposed to or infected by COVID-19. I also acknowledge that by attending camp activities, such exposure or infection may result in personal injury, illness, disability, and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 in camp activities may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Grove Avenue employees, contractors, volunteers, members, and participants and their families. Accordingly, I, on my behalf and that of my child(ren), and on the behalf of my heirs, personal representatives, successors, and assigns, voluntarily accept the risk that COVID-19 is very contagious and may be spread or contracted through any personal interactions, including on the premises of Grove Avenue. Waiver of Liability On my behalf, and on behalf of my child(ren), I hereby waive and release, indemnify, hold harmless and forever discharge Grove Avenue Baptist Church and/or Grove Christian School, and its directors, officers, agents, employees, and volunteers, of and from any and all claims, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or in equity, that I ever had or may have, arising from or in any way related to my or my child(ren)’s participation in worship services whether a COVID-19 infection occurs before, during, or after such participation. That this waiver of liability does not apply to any acts of gross negligence, or intentional, willful, or wanton misconduct by Grove Avenue, its agents or representatives. *Use of the terms “I” and “my” are to be interpreted to include both the singular and plural pronouns to include both parents or legal guardians*
I UNDERSTAND THAT BY CHECKING THE BOX ON MY COMPLETED CHECKOUT PAGE, I AM GIVING PARENTAL OR GUARDIAN CONSENT TO THE RELEASE, DISCHARGE, WAIVER, AND HOLD HARMLESS AGREEMENT AND ASSUMPTION OF RISK