Camper Agreements, Waiver, and Assumption of Risk 

Please read and sign below: 

I wish to enroll my child and/or family (Participant) in camp and/or other programming offered by the Carroll County YMCA/Camp Huckins (CCYMCA). Submitting the application means that I accept and agree to the following on my behalf and on behalf of the Participant.    

Statement of Inclusion  

CCYMCA is committed to providing a safe and inclusive environment in which all Participants, campers, families and staff can discover and be their authentic selves. In our leadership, strategic planning, recruitment, training and program development, we strive to be inclusive in our practices and to promote equity and opportunity for all individuals. We respect, affirm and protect the dignity and worth of every member of our community. It is our hope that any individual seeking to be a part of the CCYMCA community will feel safe consulting with representatives of CCYMCA to determine how our programs can best serve their needs.  

 Assumption of Risk  

In my legal capacity as a parent/guardian of a minor Participant (Minor), I acknowledge and agree that any use of CCYMCA facilities, services, equipment and premises (Facilities) and any participation in CCYMCA programs and activities (Programs) come with inherent risks including, but in no way limited to: (1) moderate and severe personal injury, (2) property damage, (3) disability, (4) death and (5) sickness or disease including, without limitation, COVID-19, other viruses, communicable diseases and infections. I, voluntarily, for myself and Minor, accept and assume full responsibility for these risks as well as any and all other risks associated with and connected to the use of Facilities and participation in Programs. I agree that I have full knowledge of the nature and extent of all such risks and am not relying on all such risks being described in this document.  

Waiver, Release, Indemnification & Covenant Not to Sue  

In consideration of Minor’s use of Facilities and participation in Programs, I, in my legal capacity as parent/guardian of Minor, agree on behalf of myself and Minor that CCYMCA, its officers, directors, agents, employees, volunteers, insurers and representatives (Releasees) will not be liable for any personal injury, property damage, disability, death, sickness or disease incurred by Minor, however occurring including, but not limited to, the negligence of Releasees. I understand that Minor and I will be solely responsible for any loss or damage, including personal injury, property damage, disability, death, sickness or disease sustained from the use of Facilities and participation in Programs.  

I further agree, in my legal capacity as the parent/guardian of Minor, on behalf of Minor, myself, and any and all legal successors and proxies, to release and HEREBY DO RELEASE, WAIVE AND COVENANT NOT TO SUE Releasees from any causes of action, claims, suits, liabilities or demands of any nature whatsoever including, but in no way limited to, claims of negligence, which Minor, myself, and any and all legal successors and proxies may have, now or in the future, against Releasees on account of personal injury, property damage, disability, death, sickness, disease or accident of any kind, arising out of or in any way related to the use of Facilities or participation in Programs, whether that participation is supervised or unsupervised, however the injury or damage occurs, including, but not limited to, the negligence of Releasees.  

In further consideration of the use of Facilities and participation in Programs, I, in my legal capacity as parent/guardian of Minor, agree on behalf of myself and Minor to INDEMNIFY AND HOLD HARMLESS Releasees from any and all causes of action, claims, demands, losses, suits, liabilities or costs of any nature whatsoever, including claims of negligence, arising out of or in any way related to the use of Facilities and participation in Programs.  

Deposit, Permissions and Acknowledgements   

I understand that I will make a deposit to accompany the application and that the deposit is non-refundable.   

I understand that the Participant is expected to understand and comply with all rules and expectations outlined in the Parent/Camper Handbook and other communications from CCYMCA. CCYMCA expressly reserves the right to dismiss a Participant for behavior or action that violates these rules and expectations, camp policy and/or that compromise the safety or security of the Participant or others. If the Participant is dismissed, I agree to pick up or ensure the Participant’s timely pick up within the period requested by CCYMCA. Further, in an emergency or during an emergency event that requires CCYMCA to close, I agree to pick up or ensure the Participant’s timely pick up within the time period requested by CCYMCA.  

I give permission to CCYMCA to take, save and use photographs, images, video and audio recordings of the Participant for record keeping, use in publications, public relations and other lawful purposes. I also give permission to CCYMCA to publish my daughter’s address, email and phone number.  

I give permission to CCYMCA for Participant to take part in all Programs and use all Facilities. I understand that these Programs and Facilities may include (and are not limited to) horseback riding, water skiing, hiking on mountain trails and being transported by motor vehicle. I understand and agree that participation in Programs and use of Facilities may involve risk and may result in payment of an additional fee. As the person signing this application, I understand that I am responsible for payment of all fees and understand that Camp Huckins will charge my card on file for any amount that is past due.