INDIAN TRAIL ANIMAL HOSPITAL VET CAMP WAIVER
HEALTH AND SAFETY: The health history listed at registration is complete and accurate, and participant has permission to engage in all Indian Trail Animal Hospital Vet Camp activities unless otherwise specified in writing. I understand that C .Tabony Veterinary Relief Services, INC (hereafter referred to as “CTVRS”) assumes no responsibility for injuries or illnesses which my child may sustain as a results of his/her participation in Vet Camp including the use of any equipment. I expressly acknowledge that I assume the risk for any and all injuries and all illnesses which may result from his/her participation in these activities. I also understand that there is a risk of injury to my child while participating in activities around animals. I agree to hold harmless CTVRS, its staff, and volunteers, for accidents or injuries arising out of my child’s participation in the activity. I agree to have my child examined within a reasonable time period prior to camp by the family physician stating he/she is free from communicable disease and has not been exposed to such. I agree that my child has been medically cleared to participate in all activities. I hereby give my permission to the medical personnel selected by the Vet Camp Director to order X-rays, routine tests and treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for myself or my child. In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the Vet Camp Director to secure and administer treatment including hospitalization for my child. I understand that no accident or medical insurance is provided with this activity.
PHOTO/VIDEO: I also give permission to CTVRS without limitation or obligation to use photographs, film footage, or tape recordings which may include my child’s image or voice for purposes of promoting or documenting Vet Camp activities, including (but not limited to) on social media
SPECIAL ACCOMMODATIONS: If my child requires special accommodations, I understand that I must contact the camp director at least 1 week prior to the start date of camp.
COVID-19 RELEASE AND WAIVER OF CLAIMS ADDENDUM (“Release”)
The undersigned, in my capacity as parent or legal guardian, hereby acknowledge the health risks and dangers associated with the transmission of the COVID-19 virus, and other communicable diseases, and recognize that exposure to the COVID-19 virus, or other communicable diseases, could occur while my child is in the care of the Indian Trail Animal Hospital Vet Camp Program (“Program”).
As such, for myself and my minor children enrolled in the Program, i fully assume all of the risks associated with participation in the Program, including the possibility of COVID-19 (or the novel coronavirus) community spread.
I, AS PARENT AND/OR LEGAL GUARDIAN, HAVE READ AND FULLY UNDERSTAND AND ACKNOWLEDGE THE CONTENTS OF THE RELEASE AND AGREE THAT I AM VOLUNTARILY WAIVING, RELEASING, INDEMNIFYING AND DISCHARGING INDIAN TRAIL ANIMAL HOSPITAL AND ITS PARENT COMPANY, OFFICERS, DIRECTORS, EMPLOYEES AND VOLUNTEERS FROM ANY AND ALL LIABILITY, DAMAGES, AND EACH AND EVERY ACTION (COLLECTIVELY, “CLAIMS”) BY PARTICIPATION IN AND/OR ASSOCIATED WITH THE PROGRAM INCLUDING, BUT NOT LIMITED TO EXPOSURE OR TRANSMISSION OF THE COVID-19 VIRUS.
I represent that I have full authority to sign on behalf of my child(ren) and that my signature binds each other person having authority to make decisions on behalf of the child(ren).
MY SIGNATURE BELOW IS CONFIRMATION THAT I HAVE READ AND FULLY UNDERSTAND AND ACKNOWLEDGE THE CONTENTS OF THE RELEASE AND AGREE THAT I AM VOLUNTARILY WAIVING, RELEASING, INDEMNIFYING AND DISCHARGING INDIAN TRAIL ANIMAL HOSPITAL AND ITS PARENT COMPANY, OFFICERS, DIRECTORS, EMPLOYEES AND VOLUNTEERS FROM THE CLAIMS.
