In the event medical intervention is needed, I hereby give my permission to the physician or dentist selected by the camp director, camp nurse, or ministry director to hospitalize, to secure medical treatment and/or to order an injection, anesthesia, or surgery for me as deemed necessary.
I understand that my insurance coverage will be used as primary coverage in the event medical intervention is needed. Coverage by Bancroft Gospel Ministry through its accident policy will be used as a back up for what my insurance does not cover.
I understand all reasonable safety precautions will be taken at all times by Bancroft Gospel Ministry and its agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold Bancroft Gospel Ministry, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries, incurred by the subject on this form.
On behalf of yourself, you hereby release and covenant not to sue, discharge, and hold harmless Bancroft Gospel Ministry, its employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in our programs, services or activities. You understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any hosted or programmed event by this organization.
I understand that Bancroft Gospel Ministry reserves the right to discipline or dismiss me from camp with forfeiture of fees if I am non-cooperative or non-compliant.
I further agree to indemnify and hold Bancroft Gospel Ministry harmless against any and all costs, damages, and expenses which may be incurred by them as a result of any claim I may make, actions I take against the camp, or lawsuits I may file against them.
I give permission for my picture to be used in future camp publications, promotional videos and/or on the internet or social media.
