YMCA Camp Winona SC Paintball Release Form

PLEASE FILL OUT ONE FORM PER PERSON WHO WILL BE PARTICIPATING IN PAINTBALL. BOTH CAMPER AND PARENT MUST ELECTRONICALLY SIGN AT THE BOTTOM.

    Disclosure

    The YMCA Camp Winona Paintball Program involves a variety of activities that often include games, group initiative problems and other potentially strenuous activities. The level of participation in the paintball activity is at all times up to the individual's choice. Yet there is a risk which must be assumed by each participant that he or she may suffer emotional or physical injury. Certain medical information must be made known to the facilitators conducting the activities, so that they are prepared to respond appropriately if the need arises. This information will be held in confidence. Please complete the form and submit it to YMCA Camp Winona prior to participating.

    PARTICIPANT INFORMATION

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    RELEASE OF LIABILITY

    I understand that parts of the YMCA Camp Winona Paintball Program may be physically or emotionally demanding. I affirm that I am in good health and that I do not have any limiting physical conditions, disabilities or handicaps that might endanger me or other participants. I recognize the inherent risk of injury or disability in YMCA Camp Winona Paintball activities. I understand that each participant must assume the risk of physical or emotional injury that could result from any of these activities. I hereby release YMCA Camp Winona, Volusia Flagler Family YMCA, its agents, employees and instructors from any liability what-so-ever from any injury or disability to me resulting from my participation in the YMCA Camp Winona Paintball Program. I CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE PARTICIPANT INFORMATION AND RELEASE OF LIABILITY FORM.
    This is a required question

    I AM THE PARENT OR GUARDIAN OF THE ABOVE NAMED PARTICIPANT. I HAVE READ AND UNDERSTAND ALL OF THE ABOVE PARTICIPANT INFORMATION AND RELEASE OF LIABILITY FORM AND CONSENT TO HIS OR HER PARTICIPATION IN THE YMCA CAMP WINONA PAINTBALL PROGRAM.

    This is a required question

    Thank you for your submission of this form.

    A copy will be added to your child's camp folder.