Upon signing the registration form, I hereby give my permission for those I am registering, whether my dependents or myself, hereby know as registrant(s), to participate in this Southern Indiana/Illinois Regional Churches, hereby known as SIIR, event.

Note: Participation in any program which involves physical activity exposes the registrant to certain risks and dangers. Accidents and injuries are always a possibility, and it is impossible to foresee and protect the camper from all conceivable dangers.

My signature on the registration form hereby affirms that the registrant(s) has/have no conditions that would make it unsafe for him/her/them to participate in the activities of the event for which they are registered.

I understand that the SIIR leadership may exclude the registrant(s) from the program or activities in the event that I or the registrant(s) fail to abide by SIIR health and safety protocols, disrupt, impede or interfere with the operations of the camp, or threaten the health, safety or welfare of other participants or SIIR appointed leadership, staff and volunteers, and that no refund of any fees will be made in such circumstances.

MEDICAL CONSENT I understand that SIIR will make every effort to contact me in the case of an emergency. My signature affirms my permission for any SIIR designated medical personnel to administer any medications needed and to provide and arrange for and consent to any necessary medical treatment for my child(ren) while attending this event, including onsite and offsite emergency care. I accept responsibility for the costs of all such medical treatment.

By signing the registration form, I agree to the conditions of this SIIR release of liability waiver, with full appreciation of the risk involved, on my own behalf and on behalf of my child(ren), I hereby voluntarily release and forever discharge SIIR, its administration, volunteers, insurers and contractors from any and all legal or financial responsibility for any personal injury, disability, illness, damage, medical expense or death, arising from or related to my child(ren)’s participation with this event and all associated activities. I agree, for myself and the registrant(s), not to make any type of legal or equitable claim on SIIR, associated IFCA Churches, administration, employees, agents, insurers or contractors with respect to any injury I or my child(ren) may suffer, whether or not it arises through the negligence, omission, default or other action of anyone affiliated with SIIR, including other campers. I further agree that if any such claim is made, I will indemnify and defend SIIR and its affiliates with respect to any such claim, injury or damage.