Reid Ranch Summer Camp
Permission Slip

August 5-9

Thank you for taking the time to fill out this form.
This helps us in case of an emergency with your child.

Medical Information

Liability Release Form

In consideration of the voluntary use, in any way, of the property, facilities, services, programs, activities, and events provided or sponsored by Calvary Chapel Tooele Springs concerning: Reid Ranch: Tooele Springs Calvary Chapel (hereinafter the “Activity”),  on behalf of myself, my heirs, representatives, and assigns, do hereby release, waive, discharge and covenant not to sue Calvary Chapel Tooele Springs, its officers, agents, employees, pastors, boards, affiliates and successors (hereinafter collectively referred to as “Calvary Chapel Tooele Springs”) from any claims, including claims of negligence, resulting in any physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and/or death which I may suffer because of my participation in this Activity, including travel to, from and during the Activity.

I am voluntarily participating in this Activity. I am aware of the risks associated with traveling to/from and participating in this Activity, which include but are not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and/or death. I understand that these injuries or outcomes may arise from my own or other's actions, inaction, or negligence; conditions related to travel, or the condition of the Activity location(s). Nonetheless, I assume all related risks, both known or unknown to me, of my participation in this Activity, including travel to, from, and during the Activity.

I agree to hold Calvary Chapel Tooele Springs harmless from any and all claims, including attorney’s fees or damage to my personal property that may occur as a result of my participation in this Activity, including travel to, from and during the Activity. If Calvary Chapel Tooele Spring incurs any of these types of expenses, I agree to reimburse it.  If I need medical treatment, I agree to be financially responsible for any costs incurred as a result of such treatment.

I understand the legal consequences of signing this document, including (a) releasing Calvary Chapel Tooele Springs from all liability, (b) promising not to sue Calvary Chapel Tooele Springs, (c) and assuming all risks of participating in this Activity, including travel to, from and during the Activity.

I understand that this document is written to be as broad and inclusive as legally permitted by the State of  Utah. I agree that if any portion is held invalid or unenforceable, I will continue to be bound by the remaining terms.

I have read this document, and I am signing it freely. No other representations concerning the legal effect of this document have been made to me.

If PARTICIPANT is under the age of 18

I, AS THE PARENT/LEGAL GUARDIAN OF THE PARTICIPANT, HAVE READ THIS LIABILITY RELEASE FORM.  I FULLY UNDERSTAND ITS TERMS AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS ON BEHALF OF THE MINOR PARTICIPANT UNDER MY LEGAL GUARDIANSHIP. I SIGN THIS AGREEMENT FREELY, VOLUNTARILY, AND WITHOUT ANY INDUCEMENT.  

As such parent or legal guardian, I hereby authorize a duly authorized agent of Calvary Chapel Tooele Springs to act for me with respect to my minor child and in my name in any way I could act in person to make any and all decisions for me with respect to my minor child, concerning my minor child’s emergency medical treatment, which may need to be rendered to my minor child on the advice of any physician or surgeon licensed to practice in the State of Utah in which treatment is sought.