3 Years Old – 4th Grade

ALL PARTICIPANTS MUST READ THIS RELEASE OF LIABILITY FORM PRIOR TO SIGNING AND PARTICIPATING IN PROGRAM ACTIVITIES

Agreement to personally assume all risk and release of all claims for liability and waive of right to sue based upon my understanding of these activities and their inherent risks. I desire Bethlehem Family Camp, a Florida not for profit corporation, to permit me to participate in all activities.

In order to participate in the above mentioned activities, I, the undersigned, agree and acknowledge that:
There is risk of injury, including a potential for permanent disability or death resulting from any participation in the above mentioned activities and or from the equipment involved in participation in such activities.
I freely assume all such risks, both known and unknown and assume full responsibility for my participation.
I will read and understand the rules of play, including all safety rules, and agree to fully comply with the rules and safety regulations during my participation.
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin hereby release and hold harmless Bethlehem Family Camp, their officers, officials, agents and or employees, from any and all liability for injury, disability, death, loss or damage to personal property.
I acknowledge, understand and agree that I have read this release of liability and assume all risk associated with participating in the above mentioned activities and that I sign this release of liability voluntarily and without inducement.
I certify I am able to take a full and active part in the program at Bethlehem Family Camp.
I further authorize Bethlehem Family Camp to administer necessary medical treatment in case of accident or illness which occurs while a camper. I also realize that my picture or testimony may be used in promotion of the camp.
All program actives, and handling and use of program equipment must be supervised by Bethlehem Family Camp Staff.