VIX CAMPS RELEASE FORM
Vix Camps Parental Release Form - I am fully aware that camping, tracking, survival, awareness and other activities at Victor Wooten’s Center for Music and Nature, even under the safest conditions possible, may be dangerous. I understand and acknowledge that my child’s participation in camp activities contains certain risks of physical injury. Therefore, I knowingly and voluntarily hereby agree to accept full responsibility on behalf of my child and to assume fully any and all risks, including, but not limited to, those caused by acts of God, those resulting in injury or death, and/or those resulting in loss to my child and/or property arising from any activity.
In the event that my child is injured while attending Victor Wooten’s Center for Music and Nature at Wooten Woods and/or any other facility or location at Victor Wooten’s Center for Music and Nature, and requires the attention of a medical professional, I consent to any reasonable medical treatment determined necessary by a licensed medical professional or EMT.
I further acknowledge that Victor Wooten's Center for Music & Nature cannot, and therefore will not, guarantee that my child will not become infected with the Coronavirus/Covid-19 or any other illness. I therefore acknowledge that I am fully and personally responsible for my own safety and actions and I recognize that sharing indoor living spaces and participation in this program may put my child at risk of contracting any illness and or virus, including, but not limited to Covid-19.
In case of medical emergency, I hereby give permission to the medical personnel selected by a camp staff member to order X-rays, routine tests, treatment, to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for my child. I hereby give permission to the medical professionals selected by the camp staff member to secure and administer treatment for my child, including hospitalization.
In the event that any kind of medical treatment is needed, and with full knowledge of the risks involved, I do agree and hereby hold such persons, Victor Wooten, Victor Wooten’s Center for Music and Nature, Wooten Woods, all staff, board, officers, independent contractors, affiliates, employees, representatives and all volunteers thereof, free and harmless, release, waive, discharge of any liability, claims, demands, or suits for damages arising for anything whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained related to illness or injury while participating in any activity while in, on, or around the premises.
I agree to indemnify, defend, and hold harmless Victor Wooten’s Center for Music and Nature from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from the giving of such consent for treatment administered by or under the supervision of a medical professionals, including, but not limited to, physicians, EMT personnel and therapists.
I agree and do hereby release and hold such persons, Victor Wooten, Victor Wooten's Center for Music and Nature, Wooten Woods, all camp staff, representatives, volunteers, board, independent contractors thereof, free and harmless of any and all liability, claims, demands, or suits for damages arising from any situation, including, but not limited to, all actions or liability in connection with any and all activities, illnesses, catering, transportation, or accommodations for the camp.
I hereby authorize Victor Wooten's Center for Music and Nature to use any photographs or likeness of me for any promotional purposes.
