The following waivers and releases must be answered before the event.

Each adult must complete their own form.
A parent must complete the form for their child/children; you can write multiple names.
Thank you!

Name of Participant

First Name

Last Name

Release and Waiver of Liability: Please read this form carefully and be aware that you will be waiving and releasing all claims for injuries sustained by you in connection with your participation in activities during Oklahoma Hemophilia Foundation Family Camp Weekend (“Family Camp”), November 2-4th, 2018, located at Tatanka Ranch in Stroud, Oklahoma, including, but not limited to: archery, hiking, kayaking, paddle boarding, canoeing, fishing, tower climbing, horseback riding, bon-fires, crafting, games (mixers, foosball, air hockey, ping pong, pool), dining, and participating in classes and group discussions (“Family Camp Activities”). In consideration of being allowed to participate in Family Camp Activities, I, the undersigned, on behalf of myself, my heirs, assigns, personal representatives and next of kin, hereby agree and understand that this Release and Waiver of Liability (“Release”) must be signed by me (or my parent/legal guardian, if I am under the age of 18) prior to participating in any Family Camp Activities. I hereby acknowledge and represent that I am in good physical condition, have no health conditions or medications that would be negatively affected by active participation in any Family Camp Activities, and I recognize and acknowledge (on my behalf or on behalf of a minor participant in my charge) that there are certain known and unknown risks of physical injury, property damage or even death which accompany such participation, and I agree to assume the full risk of any type of injury, and all resulting damages or losses which I (or the participating minor in my charge) may sustain as a result of participating any Family Camp Activities. I further recognize that risks and dangers may arise from foreseeable or unforeseeable causes. I hereby waive and relinquish all claims, including any claims against the Oklahoma Hemophilia Foundation and any of its respective directors, officers, volunteers and employees (collectively, the “Releasees”) that I have as a result of participating in any Family Camp Activities regardless of the cause or Releasees’ own negligence. I do hereby fully release and discharge, and agree to indemnify, hold harmless and defend, the Oklahoma Hemophilia Foundation and all other Releasees from any and all costs, including attorney’s fees, damages or liability related to injuries, including death, personal injury or damage to, loss or theft of property which I may have or claim, or which may accrue to me on account of my participation in any Family Camp Activities. As a participant, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Oklahoma, and that this Release shall be governed by and interpreted in accordance with the laws of the State of Oklahoma. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected. I have read the above Release and understand that by signing below, I have given up substantial rights (on my own behalf or on behalf of a minor participant in my charge) and am willingly and voluntarily participating in the Family Camp Activities.

Parental Consent (MANDATORY for participants under the age of 18)

If you are a parent: please list your children's names below. If you are NOT a parent: NA

Parental Consent: I, the undersigned, represent that I am the parent or legal guardian of the participant named below, or I have obtained permission from the parent or legal guardian of the participant named below to execute this agreement on his or her behalf. I have read the above Release, am legally competent to understand and complete this agreement and agree to its terms on behalf of the participant, myself, my heirs, assigns, personal representatives and next of kin. I understand that by signing below, I am giving up substantial rights on behalf of the participant and myself, and the participant is willingly and voluntarily participating in the Family Camp Activities.

Emergency Contact

First Name

Last Name

Emergency Contact Phone Number

(###)

###

####

Photo Release: I grant to the Oklahoma Hemophilia Foundation (OHF), its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize OHF, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that OHF may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and understand the above

The following waivers and releases must be answered before the event.

Each adult must complete their own form.

A parent must complete the form for their child/children; you can write multiple names.

Thank you!