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WAIVER OF LIABILITY AND ACKNOWLEDGEMENT OF TERMS

WAIVER OF LIABILITY AND ACKNOWLEDGEMENT OF TERMS

RISKS

  1. There are certain dangers and risks (foreseen and unforeseen) inherent in attending and participating in the Envisioning Youth Empowerment Retreat, including, risks related to use of equipment, facilities, personal safety and travel.

  2. These risks include, but are not limited to, slips and falls, vehicle and pedestrian accidents, drowning, concussions, extreme weather, and/or theft.

  3. The activities of the 2024 EYE Retreat include travel on public transportation, access to bodies of water, limited supervision in community settings, classroom lectures, and sleeping overnight in shared spaces.  

  4. Some of the foressen and unforessen risks of participation in the EYE Rettreat may result in injury or death.

 

WAIVER OF LIABILTY FOR PROPERTY

  1. In consideration of the attendance and participation in the Envisioning Youth Empowerment Retreat and risks (foreseen and unforeseen) of attending and participating in the Retreat, the Undersigned understand(s) and agree(s) to release Envisioning Youth Empowerment Retreat, it’s Board of Directors, it’s officers, and assigns as well as waive any claim for lost, stolen, damaged, or misused property.  All property brought on campus is done so at the participant’s own risk.  Parents/guardians are responsible for any damages to property by their minor children.  Participants that are 18 years of age or older are responsible for any costs associated with theft or damages to property.

 

WAIVER OF LIABILTY FOR INJURY OR DEATH

  1. In consideration of the attendance and participation in the Envisioning Youth Empowerment Retreat and risks (foreseen and unforeseen) of attending and participating in the Retreat, the Undersigned understand(s) and agree(s) to release Envisioning Youth Empowerment Retreat, it’s Board of Directors, it’s officers, and assigns as well as waive any claim for injury or death resulting from the participant’s attendance and participation in the EYE Retreat.

 

NOTICE AND CONSENT OF SEARCH AND SEIZURE  

  1. I/We consent to reasonable searches and seizures that relate to possible violations of policies, procedures, or law.  In the event I/We refuse to comply, I understand the appropriate law enforcement agency will be contacted.  I further understand that if there is a perceived or actual immediate threat to safety, EYE Retreat mentors will take immediate action to ensure safety while awaiting the response of law enforcement or other appropriate authorities.

 

NOTICE AND CONSENT OF DISMISSAL AND REPORTING  

  1. In consideration of the attendance and participation in the Envisioning Youth Empowerment Retreat, I/We agree that the President and/or Board of Directors of the Envisioning Youth Empowerment (EYE) Retreat have the authority to dismiss any participant who violates the expectations, policies, or procedures of the program, as well as any other generally-accepted rules of conduct (not necessarily covered in the expectations) which, in the President’s professional judgment, are essential to the educational goals of the program.  Further, I/We understand and agree that the Envisioning Youth Empowerment Retreat, it’s Board of Directors, it’s officers, and assigns may report any violations of policies, procedures, or laws to the appropriate authorities. 

 

NOTICE AND CONSENT OF THE HANDBOOK

  1. In consideration of the attendance and participation in the Envisioning Youth Empowerment Retreat, I/We agree the Handbook is incorporated into this agreement by reference.  Further, I/We agree that publiciation of the Handbook at www.eyeretreat.org constitutes delivery and receipt of the Handbook.  I/We agree to the policies, procedures, and terms outlined in the Handbook. 

 

MEDICAL AND MEDICATION ACKNOWLEDGEMENT

  1. The above named participant has my permission to participate in the Envisioning Youth Empowerment Retreat.  If contact is unsuccessful, I give my permission to the attending physician to render medical treatment to the participant.  Any expenses arising from injury or illness is the responsibility of the person signing below. 

  2. All medications brought must in the bottle they came in from the pharmacy with the participant’s name on the bottle.

  3. I understand the EYE Retreat does not provide any onsite medical care.

  4. I understand the EYE Retreat does not administer medication.  However, the EYE Retreat can provide a reasonable accommodation for those who are in need of support with taking their own medication. 

PARENT SIGNATURE BOX

PARTICIPANT SIGNATURE BOX

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