Base Camp Central 2019

2019 Base Camp Central

Parent Information


Additonal Information

Waiver Statement:


I, the undersigned parent/guardian of the named child, understand that my child is responsible for knowing the rules and regulations of Faith Ascent Base Camp and Lindenwood University.
1. In consideration for receiving permission to participate in the above-mentioned activity, (herein referred to as ACTIVITY), which is sanctioned or sponsored by Lindenwood University (herein referred to as SPONSOR), I (PARTICIPANT), hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE, AND AGREE TO HOLD HARMLESS SPONSOR, Lindenwood University, its Board of Directors, its officers, agents, volunteers, other students, third parties, or employees (collectively referred to as RELEASEES) FROM ANY AND ALL LIABILITIES, CLAIMS, DEMANDS, OR INJURY, INCLUDING DEATH, unless specifically exempted herein, that may be sustained by me while participating in such ACTIVITY, travel to and from the activity, or while on the premises owned or leased by RELEASEES, including injuries sustained as a result of the negligence and FUTURE NEGLIGENCE of RELEASEES. I am able to participate in this activity and I know of no medical, physical, or mental, reason why I should not participate.
2. I am fully aware that there are inherent risks involved with the ACTIVITY, and I choose to voluntarily participate in said ACTIVITY with full knowledge that said ACTIVITY may be hazardous to me and my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me as a result of participating in said ACTIVITY, including injuries sustained as a result of the negligence or FUTURE NEGLIGENCE of RELEASEES, unless specifically exempted herein. I further agree to indemnify and hold harmless the RELEASEES for any loss, liability, damage or costs, including court costs and attorney’s fees that may occur as a result of my participation in said ACTIVITY, unless specifically exempted herein.
3. I authorize university staff and other medical personnel to take any action deemed necessary in case of emergency medical situations. I understand that RELEASEES may not maintain insurance covering circumstances arising from my participation in this ACTIVITY or any event related to that participation. As such, I am aware that I should review my personal insurance coverage and my personal insurance will be used when appropriate and applicable.
4. It is my express intent that this document shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representatives, if I am deceased.
5. In signing this Release, Waiver, and Hold Harmless, I acknowledge and represent that I have read the foregoing document, acknowledge that I have the right to review it with my own legal counsel, understand it, and sign it voluntarily as my own free act and deed. No oral representations, statements, or inducements apart from the foregoing agreement that has been reduced to writing have been made. I execute this document for full, adequate and complete consideration fully intending to be bound by the same, now and in the future. 
6. All other terms notwithstanding, this document does not release, and expressly excludes from its terms, claims, liabilities, or causes of action which are non-releasable under State or Federal Laws, including, but not limited to, intentional torts, gross recklessness, gross negligence, fraud, or activities involving the public interest, depending on the jurisdiction.
* Registration for camp indicates that you read and agree to the above mentioned.

I hereby authorize the staff or volunteers of Faith Ascent or Lindenwood University to take the named child to a medical doctor for examination and treatment of any accident or illness that may arise during the term of camp. I understand that in the event of a medical emergency, every effort will be made to contact the parent/guardian listed. In the event I cannot be reached, I hereby authorize any physician, nurse, medical authority and/or hospital to administer proper treatment for my child. I have listed all known allergies, immunizations, and/or health problems in the question forms and any other information pertinent to named child’s health, including all medications named child takes. Permission is hereby given for my named child’s leaders to administer prescription medication as directed on the original prescription medication container. Permission is also hereby given for the camp staff to administer over-the-counter medications as directed by the labels provided by the manufacturer for my child if necessary. In consideration of all camp
activity and the possibility of danger there in, Faith Ascent and Lindenwood University (i.e. Staff, volunteers, and board members) is hereby released and relieved from Liability for accident and injury to said child arising from any and all activities of this event.
* Registration for camp indicates that you read and agree to the above mentioned

Permission is given for use of the following by Faith Ascent for promotional or fundraising purposes: 1) Student pictures and video taken while at camp; 2) Student quotations from evaluations and letters relating to camp experience.
* Registration for camp indicates that you read and agree to the above mentioned.

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