Camp Romuva liability form

1. ROMUVA
INDEMNIFICATION
In order to induce Camp Romuva/Romuva Inc. to accept me and/or my child(ren)/ ward(s) and allow the said
participant(s) to fully partake in all activities, I and /or my parent(s)/guardian(s) hereby agree to fully release,
discharge, save harmless and indemnify from all liability all parties associated with Camp Romuva, Romuva Inc.
and the Lithuanian Scouts Association (the “Association”).
I am/we are familiar with the purposes, organizational structure and the operational methods of Camp Romuva
and the Association. I/we understand that there is an element of risk involved with the participation of myself
and/or my child(ren)/ward(s) in camp activities sponsored by Camp Romuva and the Association, that
membership and attendance is on a purely voluntary basis and that such membership and participation could
not be granted to anyone not assuming any or all risk associated with any and all activities.
I/we hereby certify that the mental and physical condition of myself and/or my child(ren)/ward(s permits me /my
child(ren)/ward(s) to fully participate in any and all activities sponsored by Camp Romuva and the Association.
The parent or guardian submitting this application understands that:
1) The child(ren)/ward(s) applying for camp is/are in good emotional and physical health and amenable
to normal camp authority and discipline.
2) The parent or guardian is legally responsible for payment of all camp fees and expenses incurred by
the child(ren)/ward(s)
3) The camp staff may, at its discretion, terminate the stay of any camper who is averse to discipline or camp
rules. No refunds of any kind will be issued.
CAMPER/STAFF SIGNATURE (IF 18 YEARS OR OVER) PRINT NAME
PARENT/GUARDIAN SIGNATURE (REQUIRED FOR ALL CAMPERS UNDER THE AGE OF 18) PRINT NAME
DATE