jhcamp INDEMNIFICATION AGREEMENT
1. I, ,
her give permission for my child,
, to attend jhcamp.
I understand the camp’s goal
is to help facilitate the bereavement process of my child and provide support
for him/her in expressing feelings of grief.
2. I give permission for my child to be
photographed, videotaped, or interviewed during jhcamp
under staff supervision. This material
may be used for future publicity of jhcamp including
the news media. Yes No
3. In consider of the above-named child being
granted permission by jhcamp, Inc. to attend jhcamp,
I, for myself and on behalf
of my child, release and discharge jhcamp, Inc., its
agents, Board of Directors, Officers, and Volunteers, from all claims, depends,
actions and judgments, which I or my child ever had or now has of my have
against jhcamp, Inc. for all personal injuries,
either physical or emotional, known or unknown, and injury to property, real or
personal, sustained by my child’s person or property during his or her negligence
or any other fault.
By:
4. Also, in consideration of the above-named
child being granted by jhcamp, Inc., to attend jhcamp, Inc.,
I agree to indemnify and
hold harmless jhcamp, Inc. for any and all claims,
demand, actions, and judgments whatsoever of every name and nature, both in law
and equity, which my child ever had or now has or may have against jhcamp, Inc. for all personal injuries, either physical or
emotional, known or unknown, and injury to property, real or personal,
sustained by my child’s person or property during his or her attendance at jhcamp, Inc. including but not limited to, injury caused by
or arising from jhcamp’s own negligence.
I, the undersigned, have
read this release and understand all of its terms.
Parent/Guardian Signature Date
Parent/Guardian Signature Date