Sacandaga Bible Conference
Assumption of Personal Responsibility
Waiver and Release of Liability

I have chosen to voluntarily participate in a program conducted by Sacandaga Bible Conference. In consideration of the benefits and privileges associated with my participation in this program, I acknowledge and agree to be bound by the following:

1.  Identification of Risks - I understand that some of the programs at SACANDAGA BIBLE CONFERENCE may be conducted in the outdoors.  It will operate in all kinds of weather, in a wide variety of physical settings, and with diverse people.  I further understand that during my participation in this rustic setting I may be exposed to some risk and forces of nature.

2.  Acknowledgement of Risks - I understand that although the SACANDAGA BIBLE CONFERENCE program has taken reasonable precautions to provide proper equipment, suitable facilities and trained staff, it is impossible to guarantee absolute safety against illness, injury or loss resulting from my participation.  I acknowledge the risk inherent in activities conducted in such a camp or wilderness environment and agree to assume that risk.

3.  Assumption of Personal Responsibility - I agree that I am responsible for my safety while participating in the SACANDAGA BIBLE CONFERENCE program and I am willing to assume that responsibility.  This means that I agree to follow any instructions and directions given me by the SACANDAGA BIBLE CONFERENCE staff and will seek to act carefully and with good judgment at all times.  I consent to a search of my personal belongings at any time by camp personnel when they consider it to be in the interest of the camp's well-being and safety.

4.  Waiver, Release and Indemnification - I understand that programs conducted on the SACANDAGA BIBLE CONFERENCE grounds and facilities may present challenging experiences with many diverse activities conducted in a rustic camp environment.  I am aware of the risks and am willing to assume them.  Consequently, I waive , release and discharge any and all claims for damages that may occur as a result of my participation in this program.  I hereby hold SACANDAGA BIBLE CONFERENCE or any individual acting in an official or advisory capacity for SACANDAGA BIBLE CONFERENCE, harmless and release and indemnify SACANDAGA BIBLE CONFERENCE and its agents from any liability, negligence or wanton misconduct of any of the released parties.  I intend this waiver and release to also apply to any relatives, heirs, next of kin, personal representatives, or assigns who might pursue legal action or claim on my behalf.

5.  Insurance - I currently have, and agree to maintain throughout my participation, valid and sufficient medical and accident insurance.  I understand that this is my sole responsibility and release all persons and entities from providing this coverage for me.

I HAVE READ THE ABOVE ACKNOWLEDGEMENT OF RISK AND ASSUMPTION OF PERSONAL RESPONSIBILITY, AS WELL AS THE WAIVER, RELEASE, AND INDEMNIFICATION OF LIABILITY AND AGREE TO ITS TERMS.

Participant's Name (please print) __________________________________________________   
Age: _____________________

Participant's Signature & Date ____________________________________________________

REQUIRED FOR ALL PARTICIPANTS UNDER THE AGE OF 18

I HAVE READ THE ABOVE ACKNOWLEDGEMENT OF RISK AND ASSUMPTION OF PERSONAL RESPONSIBILITY, AS WELL AS THE WAIVER, RELEASE, AND INDEMNIFICATION OF LIABILITY AND AGREE TO ITS TERMS FOR MYSELF AND MY CHILD.

Parent/Guardian (please print) ______________________________________________ 
Relationship  _____________________________________

Parent/Guardian Signature & Date _____________________________________________