City of Wyoming Recreation Center
Waiver and Release of All Claims of Minor Participant
I, as parent/guardian of __________________________________________ (“Child Participant”), understand and acknowledge that that Child Participant’s participation in the City of Wyoming (“City”) summer camp program comes with inherent risks. I have full knowledge and understanding of such risks, including, but not limited to, injury or death resulting from falls, slips, and trips, aquatic injuries, athletic injuries, and illness. I further explicitly understand and acknowledge that COVID-19, an extremely contagious virus that spreads easily from person to person, remains an ongoing health concern. Federal and state authorities recommend social distancing to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in summer camp could increase the risk of contracting COVID-19. The City in no way warrants that COVID-19 infection will not occur through participation in summer camp programs or utilizing City facilities. I understand that the City, the Wyoming Recreation Commission (“WRC”) and other professional recreation organizations associated with the City or summer camp will not be liable for an injury sustained by Child Participant, and are not responsible for any medical expenses incurred growing out of Child Participant’s participation in summer camp.
In consideration of the Child Participant being permitted to participate in summer camp, utilize the facilities, and otherwise receive services associated with summer camp from the City, the WRC and other professional recreation organizations associated with the City (the “Releasees”), I _________________________, as parent/guardian of the Child Participant, on behalf of myself, the Child Participant, my and their heirs, representatives, executors, administrators, and assigns, hereby release, waive, discharge and covenant not to sue, the Releasees, their elected and appointed officials, officers, employees, volunteers and agents from all causes of action, claims, or demands of any nature whatsoever on account of personal injury, property damage, death or accident of any kind, arising out of Child Participant’s participation in summer camp or use of the City’s facilities, whether the participation is supervised or unsupervised, however the injury or damage occurs, including, but not limited to, the negligence of the Releasees.
I represent that the Child Participant has been recently examined by a medical doctor and been found able to participate in summer camp without limitations.
PERMISSION TO PROVIDE NECESSARY TREATMENT OR EMERGENCY CARE:
I hereby give permission to the medical personnel selected by the City of Wyoming to provide transportation and obtain medical care for my child. In the event neither my emergency contact nor I can be contacted, I hereby give permission to obtain treatment, including hospitalization for my child.
In consideration of the acceptance of my permission slip, I or myself, my executors, administrators and heirs, do hereby release and discharge the City of Wyoming, all employees, and individuals assisting volunteers from all claims of damages, demands, liabilities, and causes of action whatsoever, growing out of my child’s participation. I have full knowledge of the risks involved and I assume those risks, and I will assume and pay for any medical expenses and emergencies in the event of an accident or other incapacity regardless of whether I have authorized such expense.
RECEIPT OF PARENT HANDBOOK
I am in receipt of the Wyoming Summer Camp handbook and have read it completely with my child(ren). I understand the rules and guidelines for the program and agree to abide by them.