VOLUNTEER ASSUMPTION OF RISK FORM
Camp CHOICE Youth Right to Life Summit- October 13th-15th, 2023 in East St. Louis, IL
Sign in to Google to save your progress. Learn more
Email *
Date: *
MM
/
DD
/
YYYY
Volunteer Name: *
Consent for Treatment:
In acceptance of my participation in the above experience, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to me as a result of participation in said event. This release is intended to discharge in advance Camp CHOICE, its officials, officers, employees, volunteers and agents from liability, including, but not limited to, claims arising out of any ordinary negligence, or any loss or damage to personal property occurring during or by reason of participating in this event. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assignees.
Volunteer Digital Signature: *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Camp C.H.O.I.C.E..