CHANCO RELEASE
In consideration of being allowed to participate in activities for education/recreational purposes sponsored through Chanco on the James, Surry County, Virginia, which activities will or may include, without limitation, ropes course participation, zip lining, canoeing, kayaking, sailing, swimming, biking, hiking, archery, and service projects (hereinafter “Activities”), I agree that I understand the nature of these Activities and that I am in good health and in proper physical condition to participate in these Activities. I agree to participate only while wearing the protective equipment required and to follow the instructions of the counselors and facilitators, and, if I believe it unsafe, to immediately discontinue my participation. I know that these Activities involve risk of serious bodily injury, including disability, and death, and damage or loss of personal property, and other known and foreseeable risks including, but not limited to, the risks of travel on roads or rough terrain by foot, conveyances, or other means, and on water; the risks arising from the failure or misuse of equipment; and the risks that injuries may occur in remote areas without adequate medical facilities. I realize that there may be other risks not known to me or not readily foreseeable, but I fully accept and assume all such risks, whether or not identified above, and I assume all responsibility for losses and damages which I may suffer as a result of my participation in these Activities.
I HEREBY RELEASE Chanco on the James/Episcopal Diocese of Southern Virginia, its members, representatives, officers, agents, employees, and each of them, and the owners and lessors of the property on which these Activities take place (hereinafter “Released Parties”), from all liability, claims, demands, losses, costs and damages arising or asserted to arise, directly or indirectly, in whole or in part, from these Activities, whether resulting from negligence or otherwise and including rescue operations and will indemnify and hold harmless the Released Parties as to all such matters.
I have read the foregoing Release, Assumption of Risk and Indemnity Agreement. I understand that I will give up substantial rights by signing it. I have signed it freely and without any inducement or assurance of any nature not stated herein. I intend it to be a complete and unconditional release, assumption of risk and indemnity to the greatest extent allowed by law; and agree that if any portion of this Agreement is held invalid, the remainder shall continue in full force and effect.
ADULT CONSENT AND ASSUMPTION OF RESPONSIBILITY
(Parent Signature Required for Participants under the age of 18)
I understand the nature of the above Activities, am familiar with the Participant’s experience and capabilities, and believe him/her to be qualified to participate. I hereby personally accept and undertake, individually and in my own name, all of the obligations stated above, specifically including the release, assumption of risk, and hold harmless provisions as to the Released Parties of all liability, claims, demands, losses and damages suffered or alleged to have been suffered or incurred by the minor or to others resulting from injury to the minor.
PHOTO/VIDEO RELEASE
I, as a participant or parent/guardian of a participant, grant permission for the videotaping and/or photographing of myself and/or the participant. I further give permission and consent that any such photographs may be published and used by Chanco on the James and The Episcopal Diocese of Southern Virginia, to illustrate and promote Chanco on the James and its programs