IN CONSIDERATION for being permitted to utilize the facilities at CAMP DEWAN, and/or for
the adults and children listed above to stay at CAMP DEWAN, for any purpose, including, but
not limited to, observation or use and enjoyment of the facilities or equipment at CAMP
DEWAN, the undersigned hereby agrees, acknowledges and represents that the premises are safe
and reasonably suited for the use by the undersigned adults and children.
In addition, the undersigned acknowledge that the novel coronavirus (“COVID-19”) infections
have been confirmed throughout the United States, including several cases in Wisconsin. In
accordance with the most recent guidance and protocols issued by the Centers for Disease
Control and Prevention (“CDC”) and the Wisconsin Department of Health (“WDH”) (the Public
Health Agencies”), for slowing the transmission of COVID-19, the undersigned hereby agrees,
represents, and warrants that neither the undersigned nor such minor children shall visit or utilize
the facilities of CAMP DEWAN if he or she (i) experiences symptoms of COVID-19, including
without limitation, fever, cough or shortness of breath, or (ii) has a suspected or diagnosed/
confirmed case of COVID-19. The undersigned agrees to notify CAMP DEWAN immediately if
he or she believes that any of the foregoing access/use restrictions may apply.
CAMP DEWAN has taken certain steps to implement recommended guidance and protocols
issued by the Public Health Agencies for slowing the transmission of COVID-19, including,
without limitation, the access/use restrictions set forth above. The undersigned acknowledges
and agrees that CAMP DEWAN may revise its procedures at any time based on updated
recommended guidance and protocols issued by the Public Health Agencies and further agrees to
comply with CAMP DEWAN’S revised procedures prior to utilizing the facilities of the Camp.
CAMP DEWAN’S policy on weddings and special events will be considered on a case-by-case
basis and will be guided by the Public Health Agencies including the CDC and the WDH. The
undersigned further acknowledges and agrees that, due to the nature of the facilities offered by
the Camp, social distancing of 6 feet per person among children and their caregivers in this
setting is not always possible, but that the CAMP DEWAN policy encourages face masks and
social distancing whenever possible. The undersigned fully understands and appreciates both the
known and potential dangers of utilizing the facilities at CAMP DEWAN and acknowledges that
the use thereof by the undersigned and/or such participating children may, despite reasonable
efforts to mitigate such dangers, result in exposure to COVID-19, which could result in
quarantine requirements, serious illness, disability, and/or death.
IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER CAMP DEWAN FOR
ANY PURPOSE INCLUDING, BUT NOT LIMITED TO, OBSERVATION OR USE OF
FACILITIES OR EQUIPMENT, THE UNDERSIGNED HEREBY AGREES TO THE
FOLLOWING:
THE UNDERSIGNED, ON HIS OR HER BEHALF AND ON BEHALF OF SUCH
PARTICIPATING CHILDREN, HEREBY RELEASES, WAIVES, DISCHARGES AND
COVENANTS NOT TO SUE CAMP DEWAN, its owners, directors, officers, employees,
volunteers and agents from all liability to the undersigned or such participating adults and
children and all personal representatives, assigns, heirs, and next of kin of the undersigned or
such participating adults and children for any loss or damage, and any claim or demands on
account of any property damage or any injury to or any illness or the death of, the undersigned or
such participating adults or children or any person who may contract COVID-19, directly or
indirectly, from the undersigned or such participating adults or children whether caused by the
negligence, active or passive, of CAMP DEWAN or otherwise, while the undersigned or such
participating adults and children are in, upon, or about the premises or facilities or equipment
therein.
THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD
HARMLESS CAMP DEWAN, its owners, directors, officers, employees, volunteers and agents,
and each of them, from any loss, liability, damages or costs they may incur, whether caused by
the negligence, active or passive, or otherwise, while the undersigned or any participating adult
or child is in, upon or about the premises or any facilities or equipment therein. The undersigned
understands and agrees that CAMP DEWAN is not required to provide insurance to cover the
undersigned or such participating children in the event they suffer illness, injury, death, property
loss, theft or damage of any sort upon, or about the premises or any facilities or equipment
therein.
The undersigned agrees and acknowledges that use of the CAMP DEWAN facilities may involve
inherent danger and risk, including, without limitation, the risk of physical illness or injury, death
or property damage. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY
FOR, AND RISK OF ILLNESS, BODILY INJURY, DEATH OR PROPERTY DAMAGE to the
undersigned or such participating children due to negligence, active or passive, or otherwise
while in, about our upon the premises of CAMP DEWAN and/or while using the premises or
any facilities or equipment thereon. The undersigned acknowledges that any illness or injuries
that the undersigned or such participating adults or children contract or sustain may be
compounded by negligent first aid or emergency response of the Releasees and waive any claim
in respect thereof.
THE UNDERSIGNED further expressly agrees that the foregoing ASSUMPTION OF RISK,
RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT is intended to
be as broad and inclusive as is permitted by the laws of the State of Wisconsin and that if any
portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full
legal force and effect.
I HAVE CAREFULLY READ AND VOLUNTARILY SIGNED THIS ASSUMPTION OF
RISK, RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT AND
FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS OR
INDUCEMENTS APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN
MADE. I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP
VALUABLE LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES FROM
CAMP DEWAN IN CASE OF ILLNESS, INJURY, DEATH OR PROPERTY LOSS OR
DAMAGE, INCLUDING, AND WITHOUT LIMITATION, EXPOSURE TO COVID-19 AT
CAMP DEWAN AND ANY ILLNESS, INJURY OR DEATH RESULTING THEREFROM. I
UNDERSTAND THAT THIS DOCUMENT IS A PROMISE NOT TO SUE AND A RELEASE
OF ANY INDEMNIFICATION FOR ALL CLAIMS. IF SIGNING ON BEHALF OF A
MINOR, I ALSO UNDERSTAND THAT THIS AGREEMENT IS MADE ON BEHALF OF
MY MINOR CHILDREN, AND/OR LEGAL WARDS AND I REPRESENT AND WARRANT
TO CAMP DEWAN THAT I HAVE FULL AUTHORITY TO SIGN THIS AGREEMENT ON
BEHALF OF SUCH MINOR(S).
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