Circle K Camp makes every effort to insure the safety of each one who attends camp. A licensed lifeguard is on hand for all swimming
times, and one or more Red Cross certified First Aid and CPR Certified persons are on the grounds at all times.
While your child's
safety is very important to us, we also want you to be aware that there are activities which could result in injury to your child.
These risks include, but are not limited to: swimming in an non-chlorinated lake and running in the woods at night. If you understand
and accept these risks, please initial here: _______________ .
_______________________________________(name of Camper) and his
parents assume all responsibility for all risk of damage or injury that may occur to the camper while traveling to and from camp,
and while attending and participating in all activities including, but not limited to, swimming, hiking, running, and competitive
The camper and his or her parents hereby release and discharge Circle K camp, itís directors, and employees, from all claims
and causes of actions, whether known or unknown, anticipated or unanticipated, which claims and causes of actions may result from
or arise out of Camperís attending, participating in, and traveling to and from camp.
We have read and understand this assumption of
risk agreement and release this _____________ day of _________________________, 20 ______.
of parent or guardian
Signature of parent or guardian
Please Print and bring this signed page to camp.
Assumption of Risk Agreement and Release
(Please read carefully before signing)