Family Getaway Application

Please read this Release and Indemnity Agreement (“Release”) carefully before signing. If the Participant is a minor (under the age of 18 years), all documents must also be signed by either a parent or legal guardian. All references to “Participant” shall be deemed to include the parent or legal guardian of any minor Participant, and by signing below, such parent or legal guardian attests that he or she is the parent or legal guardian of the Participant named in this Release, and has the authority to execute this Release on behalf of the Participant.

A. PARTICIPATION CONSENT

Participant understands and acknowledges that risks and dangers exist during the camp program(s) that Participant has applied to attend and that occasionally accidents occur during camp or retreat activities and that Participant may sustain serious personal injury and property damages as a consequence of such activities. These activities include but are not limited to the potential hazards of boating, swimming, horseback riding, archery, sports, ropes or challenge course exercises, climbing structures, hiking, camping, cooking, and potential hazards of the presence of wildlife, depending on other people, accident or illness, the forces of nature, extreme temperature, inclement weather and travel by air, train, boat, automobile or other conveyance. Participant understands that Camp John Marc (“CJM”) does not have any medical staff on site, the closest emergency room is approximately twenty (20) miles from CJM, and emergency services for the area where CJM is located are volunteer Bosque County EMS. Knowing the risks of camp and retreat activities, nevertheless, Participant agrees to assume those risks.

Participant is not under and will not be under the influence of any chemical substance (except prescription medicine taken as prescribed), including alcohol, while at CJM or traveling to or from CJM. Participant understands that participation in this program is entirely voluntary and that Participant may elect to participate, decline to participate, or limit or discontinue participation at any time. Participant has applied for this program and accepts full responsibility for Participant’s decision to participate or not to participate and agrees to follow all safety instructions. Participant understands and agrees that Participant will be in an environment that involves elements related to nature, camping or community living such as insects and insect bites, sun exposure, or communicable illness, including Covid-19.

B. MEDIA RELEASE

Participant understands that this media release is granted for the use and benefit of CJM. Participant gives permission and consent for CJM to interview and/or take photographs, audio or audio-visual recordings of Participant and minor Participant(s) and grants CJM permission to use Participant’s and minor Participant’s likeness or voice in television, film, video, print or other media used to promote or publicize CJM, or the camp session Participant attends; provided these materials are distributed without a specific charge to the recipient except for the cost of precuring any mass media materials in which they are incorporated. I acknowledge that CJM shall have all rights of copyright in and to such photographs, videos, audio and images and may use such copyright fully. I also hereby release Camp John Marc, and Camp John Marc Foundation, Inc. and the user group(s) and their employees, agents and directors, for liability connected with the taking of and use of these materials. In addition, I waive all rights, interest or claims for payment in connection with any exhibition or release of these materials. This consent is voluntary, and I give it in the interest of public information, education, the furtherance of the goals of CJM, or other lawful purposes.

C. RELEASE AND INDEMNITY For and in consideration of the right to participate in a camp program and the services and food arranged for Participant and me by Camp John Marc, the user group(s) sponsoring the camp session I attend, the undersigned, on behalf of myself and my child and/ or children completely release, acquit, and forever discharge Camp John Marc, Camp John Marc Foundation, Inc. the user group(s) sponsoring the camp session Participant attends, and their respective counselors, employees, volunteers, directors, officers, agents, affiliates, partners, members, shareholders and/or associates (hereinafter collectively referred to as the “Released Parties”) of and from any and all claims, demands, causes of action, obligations, liens, damages, losses, costs, attorneys’ fees and expense of every kind and nature whatsoever, whether for bodily injury, property damage or loss or otherwise, which the undersigned now has or which may arise from or in connection with participation in any activities arranged for me and/ or my child or children by CJM, the user group(s) sponsoring the camp session my child attends, and/or the Released Parties [and for all members of my family, including minor children of mine accompanying me]. It is the express intention of the undersigned that this Release is a full release of the Released Parties for the consequences of the Released Parties’ own actual or alleged negligence, gross negligence, strict or absolute liability, or other fault. I agree to be liable for attorneys’ fees and court costs of the Released Parties and myself associated with claims and/or litigation brought by or on behalf of Participant and/or me against CJM, the user group(s) or the Released Parties.

INDEMNITY: It is further expressly agreed and understood that the undersigned will defend, indemnify and hold harmless the Released Parties from any liability, judgment or claim asserted by, through or on behalf of the undersigned, my child and/or children who are participating in camp activities, arising out or in any way pertaining to the participation in a camp program and the services and food arranged for my child and/or children and the undersigned. The foregoing obligations to defend, indemnify and hold harmless shall be enforceable without regard to the actual or alleged negligence, gross negligence, strict or absolutely liability or other fault of the Released Parties, it being the express intention of the undersigned to indemnify the Released Parties for the consequences of the Released Parties’ own actual or alleged negligence, gross negligence, strict or absolute liability or other fault.

If you are an adult Participant, please write your name below and sign where indicated. If the Participant(s) are minors, write each Participant’s name and parent(s) or legal guardian(s) need to sign where indicated.