Camp NeighborLink 2025 Agreement

HOLD HARMLESS, WAIVER, AND RELEASE OF LIABILITY AGREEMENT

NeighborLink Fort Wayne Foundation
Camp NeighborLink: July 10–11, 2025

IMPORTANT: THIS IS A LEGAL DOCUMENT. PLEASE READ CAREFULLY BEFORE SIGNING.

NeighborLink Fort Wayne Foundation (“NeighborLink”) is committed to the safety and well- being of all participants and volunteers. In consideration for the opportunity to participate in Camp NeighborLink, to be held July 10–11, 2025, each participant (or their parent/legal guardian, if under 18) must complete and sign this Hold Harmless, Waiver, and Release of Liability Agreement (“Agreement”).

PARTICIPANT INFORMATION

(To be completed by participant or parent/guardian if participant is a minor.)

Name of Participant(Required)

First Last

Parent(s) / Guardian(s)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Allergies or Medical Conditions

Medical Insurance Coverage

Yes

PARTICIPATION AGREEMENT AND WAIVER OF LIABILITY

Assumption of Risk: I understand and acknowledge that participation in Camp NeighborLink activities, including transportation to and from such activities, carries inherent risks. These risks may include, but are not limited to, personal injury, property damage, sickness, exposure to communicable and infectious diseases (including but not limited to COVID-19), and other potential hazards.
Release of Liability: I voluntarily assume all risks associated with participation and hereby release, waive, discharge, and covenant not to sue NeighborLink Fort Wayne Foundation, its officers, directors, employees, agents, volunteers, and representatives (collectively, the “Released Parties”) from any and all claims, demands, causes of action, losses, or liabilities of any kind or nature, whether known or unknown, arising out of or relating to participation in the Camp NeighborLink event.
Indemnification: I agree to indemnify, defend, and hold harmless the Released Parties from any and all liability, loss, damage, or expense, including attorney’s fees, incurred as a result of any claims, demands, or causes of action brought against the Released Parties related to my participation or the participation of my minor child(ren) in the activity.
Medical Treatment Authorization: I authorize NeighborLink and its representatives to secure necessary medical treatment for the participant in the event of illness or injury, and I accept full financial responsibility for such treatment.

ACKNOWLEDGEMENT AND SIGNATURE

Signature of Participant(Required)

Signature of Participant: Date(Required)

Signature of Parent/Guardian (if under 18)

Signature of Parent/Guardian: Date