Acknowledgement, Liability, Assumption of Risks and Release of Claims

The safety and well being of each participant is of paramount importance to Camp del Corazon and the professional staff, employees, and trustees of Camp del Corazon. All reasonable care and precautions are taken to ensure a fun, educational experience. The following acknowledgment and assumption of risk and release of claims is both a requirement of insurance coverage and an important reminder to you as a participant to be sure that you are properly prepared.

I am acknowledging my desire to participate in the P.A.C.E. retreat and/or PACE event. I understand the program offered through Camp del Corazon may include, but not limited to; the following potential hazardous activities: hiking, camping, swimming, initiative activities, high/low ropes course, rock climbing, ice skating, laser tag, etc. and participant will provide own transportation to and from the activity site. The inherent risks of these activities include the following: personal injury, property damage, illness, or death.

I understand that Camp del Corazon does not require that I participate in the above-mentioned event. In recognition of the potentially hazardous nature of the elective event, I release Camp del Corazon and the professional staff, employees, the trustees of Camp del Corazon, and its agents from all claims of negligence, arising from participation in the course. I further agree to hold harmless and indemnify Camp del Corazon and the professional staff, employees, the trustees of Camp del Corazon, and its agents for all defense costs, including attorney fees, and any other costs resulting in connection with my participation in this activity. I understand that this release relates to all claims and liability during and after the trip resulting from a pre-existing medical condition. I have read and completed fully the medical form provided by Camp del Corazon and accept full responsibility for omissions or errors on the medical form.

I also understand that this release relates to all claims and liability resulting from unforeseen or intemperate weather. I have read the clothing list provided by Camp del Corazon and accept full responsibility for inadequate clothing provided by me; or those items, which I fail to provide.

I have read this entire "acknowledgement and assumption of risk and release of claims" and fully understand the contents. My signature below indicates that I have satisfied my questions and concerns regarding the above-mentioned program by talking with a representative of Camp del Corazon.

Electronic Signature (Full Name):

Acknowledgement of Risk of Illness

I hereby acknowledge and agree that participation in Camp del Corazon / PACE activities comes with inherent risks, as listed above. I have full knowledge and understanding of the inherent risks associated with Camp del Corazon participation, including but in no way limited to illness, including exposure to and infection with viruses or bacteria.

By signing below, I voluntarily assume these risks and release Camp del Corazón, its staff, and volunteers from any liability related to such exposures or health concerns.

Additionally, I acknowledge that failure to adhere to these guidelines may result in my removal from P.A.C.E. for the duration of the program.

Electronic Signature (Full Name):

Tetanus Warning & Disclaimer

Tetanus is an extremely serious illness that causes convulsions (seizures) and severe muscle spasms that can be strong enough to cause bone fractures of the spine. Tetanus cannot be spread from person to person. The only way to get tetanus is from a skin wound that becomes contaminated by the tetanus bacteria Clostridium tetani (C. tetani), which is often found in soil. Participating in PACE programs or accessing Camp del Corazon facilities could increase the risk of contracting Tetanus. The tetanus vaccine is the best way to prevent this illness and is recommended by the Center for Disease Control to have a booster vaccine every 10 years.  Camp del Corazon in no way represents or warrants that Tetanus infection will not occur through participation in Camp del Corazon programs of accessing Camp del Corazon facilities. If I do not agree to abide by all recommendations concerning Tetanus as well as any policies that Camp del Corazon may adopt, then I am putting myself at risk for serious illness and Camp del Corazon will not be liable.

I understand that by signing this release, I am waiving any and all claims of any kind arising out of or attributable to my participation in the Camp del Corazon's programs, including those claims that may be unknown to me, or which I do not suspect to exist at this time.

Electronic Signature (Full Name):