Participant Liability Release and Consent Form
By sending my child to an on-site educational program at Blackwood, my child and I hereby assume the risk(s) of personal injury, accidents and/ or illnesses in consideration of, and in recognition of, the inherent risks of bodily injury and harm associated with the use of Blackwood Educational Land Institute facilities and/ or participation in Blackwood Educational Land Institute programs, including farming, bees and other livestock, campfires, swimming, and all other typical farm and outdoor activities, and including, but not limited to, those risks arising from accidents, other participants, and forces of nature. I further understand that no warranties or representations of any kind have been made by Blackwood Educational Land Institute, its employees, agents, officials, officers, directors, successors, and/ or assigns regarding any of these activities. This release is intended to discharge in advance Blackwood Educational Land Institute, its officials, officers, employees, contractors, volunteers and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational and educational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assignees.
Parental Consent (Complete if applicant is under 18)
I give consent for my child to participate in all camp activities, and I execute the above liability release on their behalf.
Permission for Treatment
I hereby give permission to the medical personnel selected by Blackwood Educational Land Institute to order X-rays, routine tests, provide treatment and/or arrange necessary related transportation for the above-named child, in case of sudden illness or injury while participating in any camp activity. If I cannot be reached in the event of an eme.rgency, I hereby give permission to the physician selected by Blackwood Educational Land Institute to secure and administer treatment, including hospitalization, for the above-named child. It is understood that Blackwood Educational Land Institute will provide no medical insurance for such treatment, and that the cost thereof will be at my expense.
I have read and understood the foregoing registration liability release and consent forms, and agree to all terms and conditions.
Media Waiver and Release for Minor Children
I hereby authorize Blackwood Educational Land Institute to publish th.e photographs taken of me and/ or the undersigned minor children, and our names, for use in the Blackwood website and any Blackwood publications. I release Blackwood Educational Land Institute from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize Blackwood to use their photographs and names. I acknowledge that since participation in publications and websites produced by Blackwood is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by Blackwood confers no rights of ownership whatsoever. I release Blackwood, its contractors and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children.