RELEASE OF LIABILITY FOR MINOR PARTICIPANTS  

MUST READ AND AGREE BEFORE SIGNING 

REFUND POLICY: Upon cancelation of registration, registrations fees (not including processing charges) will be refunded until April 1. From April 1 to May 1, participants requesting a refund can receive a partial refund (half of the camp registration fee), not including any processing charges. NO REFUNDS WILL BE GRANTED UPON CANCELATION OF REGISTRATION AFTER MAY 1.  

I, the signatory of this Release of Liability, am a parent or adult guardian for the register (herein referred to as the “Camper”) and I am over the age of 18. I understand and acknowledge that I am legally agreeing to the statements in the following paragraphs of this Release of Liability by affixing my signature below. Accordingly, and in consideration of my child/ward’s (herein referred to collectively as “child”) participation in any way in Win for KC’s Camp Win (herein referred to as the “Camp”) and related events and activities connected thereto, I acknowledge, anticipate, understand and agree to the following: 

1. I acknowledge that this Camp includes multi-sport events, which can test a person's physical and mental limits and carries with it the potential for death, serious injury, illness and property damage. I acknowledge and agree that it is my responsibility to determine whether my Camper/ (hereinafter referred to as participant) is sufficiently fit and healthy enough to safely participate in this Camp, and I attest and certify that she is or will be sufficiently fit to participate in any Camp event which I elect to enter. I confirm the Camper has no physical or medical condition which would endanger herself or others if she participates in any Camp event, or that would interfere with her ability to safely participate in any Camp event. I accept responsibility for mine and my Camper’s conduct in connection with the Camp.    

2. I acknowledge that my Camper’s participation in the Camp is inherently dangerous due to the engagement of physical activity, organized play and extreme sports. On behalf of myself, my Camper, my executors, administrators, heirs, next of kin, successors and assigns, and anyone else who might sue on my Camper’s behalf, I HEREBY WAIVE, RELEASE, and FOREVER DISCHARGE, WIN for KC, and affiliates,  Pembroke Hill School and Blue Valley North, which includes its staff and facilities, the Greater Kansas City Sports Commission and the Greater Kansas City Sports Foundation, all Camp sponsors, Camp producers, Camp staff, administrators, officials, contractors, vendors, and organizers, volunteers, all other persons or entities involved with the Camp, states, cities, towns, and other governmental bodies and locations in which the Camp or portions of the Camp takes place, and the officers, directors, employees, agents, insurers, other participants and representatives of all of the above (collectively, the "Released Parties"), from any and all claims, causes of action, damages, expenses, losses (economic and non-economic), and liabilities of every kind (collectively "Claims"), for death, personal injury, illness, or property damage, which may arise out of, result from, or relate to my Camper’s participation, or her traveling to or from the Camp, including but not limited to any Claims for theft, damage to any equipment, negligence, partial or permanent disability, Claims relating to the provision of first aid, medical care, medical treatment, or medical decisions (at a Camp site or elsewhere), and any Claims for medical or hospital expenses. I hereby allow WIN for KC, its staff, qualified representatives, administrators and officials the right and ability to administer necessary daily medication to my participant as directed by me during camp registration and/or through doctors’ instructions presented on site and/or ability to administer any necessary basic first aid attention as needed, including but not limited to, band-aids, epi-pens, Tylenol, etc. I acknowledge that I have or I will, prior to Camp advised WIN for KC staff in writing of any medication, special needs or allergies of the Camper. 

3. The organization has adopted the following procedures in caring for the participant if she becomes sick or injured while attending camp. (All numbers utilized below will be provided by participant's parent/guardian through paperwork.) (1) The camp will call home and/or cell phones, if there is no answer, 2) the camp will call the emergency contacts, 3) If none of the above answer, the camp will call an ambulance, if necessary, to transport the child to a local medical facility, 4) Based on the judgment of the attending physician, the child may be admitted to a local medical facility, 5) The camp will continue to call the parents, guardian, and emergency contacts until one is reached. If I cannot be reached and the camp authorities have followed the pick up procedures, I agree to assume all expenses for moving and medically treating the Camper. In the event I cannot be reached in an emergency, I hereby give permission to the attending physician to hospitalize, secure proper treatment for, and to order injection and/or anesthesia and/or surgery for my child as named above.  

4. On behalf of my Camper and in regards to my Camper’s participation in the Camp, I acknowledge and ASSUME ALL OF THE RISKS and aspects of the Camp. I understand that my Camper’s participant will be participating in the Camp at her own risk, that I am responsible for the risk of participation of my Camper in the Camp, and that I am waiving and releasing my legal rights to sue for any injury or damages arising out of or resulting from my Camper’s participation in all events associated with the Camp. I further understand that any injury or damages incurred may be the result of negligence, omission or carelessness by the Released Parties. 

5. I FURTHER COVENANT and AGREE NOT TO SUE any of the Released Parties for any of the Claims that I have waived, released, or discharged herein. I AGREE TO INDEMNIFY and HOLD HARMLESS the Released Parties from any and all expenses incurred, Claims made, or liabilities assessed against them, including but not limited to attorneys' fees and litigation expenses, arising out of or resulting from, directly or indirectly, in whole or in part, my breach or failure to abide by any part of this Waiver Agreement, my Camper’s breach or failure to abide by Camp rules, and my Camper’s actions or inactions which cause injury or damage to any other person.   

6. I FURTHER GRANT the Greater Kansas City Sports Commission, The Greater Kansas City Sports Foundation and WIN for KC (collectively "WIN for KC"), and Camp for Kids, the right to use my Camper’s image in all forms and media for WIN for KC's marketing, promotional or related materials (the "Materials") throughout the world and in perpetuity. I WAIVE any rights to future compensation to which I might otherwise have been entitled for such use.  

7. The parent or legal guardian who signs this Release of Liability on behalf of a minor, incapacitated and/or mentally challenged person (hereinafter "Said Person"), hereby acknowledges that he or she has the legal capacity and authority to act on behalf of Said Person to legally bind Said Person to the Waiver Agreement. The parent or legal guardian who signs the Waiver Agreement agrees to indemnify and hold harmless the Released Parties for any expenses incurred, Claims made, or liabilities assessed against them, as a result of any insufficiency of legal capacity or authority to act on behalf of Said Person in the execution of the Waiver Agreement. 

8. I acknowledge and agree that in order to protect the Camp’s participants and ensure a safe event, each individual participating in this event must be officially registered under her own name with accurate personal information. Failure to do so will void the registration and prohibit participation. Registration entries cannot be transferred to another person under any circumstances or used by registrant in subsequent years. Registration fees are non-refundable in all cases regardless of inability to participate or event cancellation. The Camp director reserves the right to cancel the event(s) because of weather, natural disaster or other unforeseen circumstances which pose a significant danger to the participants. 

9. If any provision of this Waiver Agreement shall be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Release of Liability and shall not affect the validity and enforceability of any remaining provisions.  

Processing Fee: Each registration will be charged a Processing Fee at the time of checkout, which is non-refundable. You will be able to see the total fee on the following summary page prior to the processing of the transaction. This fee is based on the negotiated rate with the event host.  

BY INDICATING YOUR ACCEPTANCE OF THIS AGREEMENT AND WAIVER, YOU ARE AFFIRMING THAT YOU HAVE READ AND UNDERSTAND THIS ENTIRE AGREEMENT AND WAIVER AND FULLY UNDERSTAND ITS TERMS. YOU UNDERSTAND THAT YOU AND YOUR CAMPER ARE GIVING UP SUBSTANTIAL RIGHTS, INCLUDING THE RIGHT TO SUE. YOU ACKNOWLEDGE THAT YOU ARE SIGNING THE AGREEMENT AND WAIVER FREELY AND VOLUNTARILY, AND INTEND BY YOUR ACCEPTANCE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. 

By typing my name below I, the parent/guardian, acknowledge receipt of the Children’s Mercy Kansas City Sport Medicine Center Concussion: Return to Play Protocol and certify that I have read and understand the document. Students cannot practice or compete in any activities until the waiver has been signed. 

I sign this waiver in acceptance on behalf of the minor participating in the Camp.