BOYS CAMP REGISTRATION

CONTACT US:

Registration Check Payment Address: 
1569 Winding Way, Belmont, CA 94002

Registration Check Payable to:
C.A.M.P.

E-mail:  [email protected]
Website:  www.campsf.org

We've subsidized camp fees to ensure affordability for all families. If possible, please consider making a donation during registration to support those facing financial challenges. Your generosity helps create an inclusive camp community. 

CAMPER'S INFORMATION

PARENT/LEGAL GUARDIAN'S INFORMATION

EMERGENCY CONTACT INFORMATION

HEALTH/MEDICAL INFORMATION

PARTICIPATION AGREEMENT

THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES.  BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.  PLEASE READ CAREFULLY:

The Camp Alumni Membership Program (C.A.M.P.), a member of Friends of Non-Profit Agency Inc., provides an exceptional opportunity for learning, growth, and friendship, but not without certain risks, dangers, hazards and liabilities to all participants.  These include, but are not limited to, personal injury, death, property damage, expense and other loss, delay or inconvenience, and session cancellation.  All parents and legal guardians of participants must accept these and other risks as a condition for their child's participation in the Camp Program.  C.A.M.P. will not accept any liability for injury, loss, expense or damage sustained as a result of any person's participation in the Camp Program.  The participant and their parent or legal guardian will be required to sign this Participation Agreement, which will release C.A.M.P. and their representatives from any future claims as a result of the applicant's participation in Camp Program.

TRANSLATION ONLY, NOT ACTUAL PARTICIPATION AGREEMENT

参与协议

此文件包括重要的法律後果。簽署此文件你將放棄某些法律權利，包括控告之權利。請小心閱讀：

The Camp Alumni Membership Program (C.A.M.P.)是Friends of Non-Profit Agency, Inc.機構的一部份，在此合稱為C.A.M.P.，為所有參與者提供一個特殊的學習、成長、和培養友誼的機會，但對所有的參與者並非沒有某類風險、危險、意外、或責任。這包括但不限於個人受傷、死亡、財物損失、支出、和其他損失、延誤或不方便、或取消小組活動。所有參與者的家長和法定監護人必須接受這些和其他的風險，作為他們孩子參與活動營計劃的條件之一。C.A.M.P.不會因任何人士參與活動營計劃召致之受傷、損失、支出、或傷害而負責。參與者和他們的家長或合法的監護人需要簽署此協議，解除對C.A.M.P.和他們代表因申請者參與活動營計劃而導致之任何未來索賠。

____________________________________________________________________________________________
参与者姓名和日期

____________________________________________________________________________________________
父母/法定监护人的姓名和日期

RELEASE OF LIABILITY, WAIVER OF CLAIMS

In consideration of C.A.M.P. accepting my child's application for the Camp Program and allowing my child to participate in the Program, I hereby agree to the following:

(1) TO WAIVE ANY AND ALL CLAIMS, whether in contract or in negligence, that I have or may in the future have
against C.A.M.P., its directors, officers, volunteers and other representatives (all of whom hereinafter will be
collectively referred to as 'the Releasees') because of my child's participation in the Camp Program;

(2) TO RELEASE THE RELEASEES from any and all liability for any loss, damage, injury or expense that I may suffer or that my next of kin may suffer as a result of my child's participation in the Camp Program, due to any cause whatsoever, INCLUDING BREACH OF CONTRACT OR NEGLIGENCE ON THE PART OF THE RELEASEES;

(3) TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability, loss, damage, injury or
expense to any third party, resulting from my child's participation in the Camp Program;

(4) TO GRANT PERMISSION TO ANY MEDICAL PERSONNEL selected by the camp directors to order routine tests, secure proper treatment, which may include hospitalization, if necessary, for my child in the event of a medical or surgical emergency;

(5) TO CONSENT TO THE USE OF ANY PICTURE OR LIKENESS of my child in connection with C.A.M.P.'s
advertising, promotion, marketing, public relations, or any other purpose;

(6) THAT THIS AGREEMENT shall be effective and binding upon my heirs, next of kin, executors, administrators and assigns, in the event of my death.

I hereby affirm the information on this registration form is accurate to the best of my knowledge and grant
permission for the applicant, whose name appears below, to participate in the Camp Program. I confirm
that I have read, understood and agree to all sections of the Participation Agreement as stated above, and
I am aware that by signing this Agreement I am waiving certain legal rights which I or my heirs, next of
kin, executors, administrators, assigns, and representatives may have against the Releasees.

FOR REGISTRATION TO BE PROCESSED, THIS FORM MUST BE FILLED OUT COMPLETELY, SIGNED, DATED, AND ACCOMPANIED BY NON-REFUNDABLE REGISTRATION FEE OF $175. PAYMENT OPTIONS WILL BE PROVIDED AT THE END OF THIS FORM.

TRANSLATION ONLY, NOT ACTUAL RELEASE OF LIABILITY, WAIVER OF CLAIMS

僅供翻譯，並非實際免除責任、放棄索賠

為考慮C.A.M.P.接受我孩子參與活動營計劃並准我的孩子參加計劃，我謹此同意如下：

(1) 放棄任何和所有的索賠，不論是合約訂定或疏忽，因我的孩子參與活動營而我持有或未來可能持有向C.A.M.P.，其附屬機構，代理，董事，幹事，義工或其他代表（以下統稱為「免除責任者」）要求索賠；

(2) 解除向免除責任者因我孩子參與活動計劃，不論什麼原因，包括違約或對免除責任者之疏忽而導致我或我的近親有任何損失、損害、受傷或支出之任何和所有責任；

(3) 解除免除責任者不會因我孩子參與活動營計劃導致任何第三者之任何和所有責任，損失，損害，受傷，或支出；

(4) 准予活動營管理人在有醫療或手術緊急情況下，為我的孩子選擇任何醫療人士進行例行檢驗、適當治療，可包括如有需要入醫院留醫等；

(5) 同意使用任何我孩子與C.A.M.P.有關之圖片或照片供廣告宣傳、推廣、行銷、公共關係、或任何其他目的用；

(6) 此協議應予生效，如我去世，並對我的繼承人，近親，執行者，管理人和讓受人具約束力。

我謹此證明此登記表後面的資料據我所知準確，並准予申請者，其名字如下，參與活動營計劃。我確認我已讀、明白、和同意參與者協議上述所有條款，而我知道簽署此協議，我現在放棄我或我的繼承人，近親，執行者，管理人和讓受人或代表可能追究免除責任者之某些法律權

参与者的姓名和日期

父母/法定监护人的姓名和日期

为便于注册，必须完整填写此表格，并签名、注明日期，并附上 175 美元不可退还的注册费。本表格末尾将提供付款方式。

WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK AND PARENTAL CONSENT AND INDEMNITY AGREEMENT (Minors Under Age 18)家長同意賠償及免責協議（18歲以下未成年人）

In consideration of my minor child being permitted to participate in the C.A.M.P. Archery and Firearms Safety Training activity:
我將授權 C.A.M.P. 允許我的未成年子女參加射箭和槍支安全培訓活動：

I understand and agree that my child is qualified to participate in the Archery and Firearms Safety Training Activity. I further acknowledge that I and the minor are aware that the activity will be conducted at a facility open to the public during the activity. I further agree and warrant and will instruct the Minor that if at any time the Minor believes conditions to be unsafe, he/she will immediately discontinue further participation in the Activity.
我理解並同意我的孩子參加所有射箭和槍支安全培訓計劃。 我和我的孩子們明白這個活動將向公眾開放。 我同意並確保向我的孩子發出指示，如果他/她遇到被認為不安全的環境，他/她將在任何時候立即停止參加所有活動

I FULLY UNDERSTAND that a) Archery and Firearms Safety Training activities involve risks and dangers of SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH, b) these risks and dangers may be caused by the Minor’s own actions, or inaction’s, the actions or inaction’s of others participating in the Activity, the conditions in which the activity takes place, or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW: c) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSSES, COSTS AND DAMAGES incurred as a result of the Minor’s participation in this activity.
我知道： a) 射箭和火器安全培訓涉及危險和嚴重的身體傷害，不包括永久性殘疾、癱瘓和死亡。 2）這些危機可能是由於未成年人擅自行動，不聽從指揮，或未經允許從事其他活動造成的。 免責聲明如下： 3) 對於其他未知風險，以及個人和經濟損失，本人同意承擔這些風險和所有其他責任、費用和損失。

I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE AND AGREE TO INDEMNIFY AND SAME AND HOLD HARMLESS the Organizers (C.A.M.P.), Instructors, their respective administrators, directors, agents, officers, volunteers and employees, any sponsors, and Camp Oljato from all liability, claims, demands , losses or damages on the minor’s account caused or alleged to be caused in whole or in part by the negligence of the “Releasees” or otherwise, including negligent rescue operations and further agree that if, despite this release, I, the Minor, or anyone on the Minor’s behalf makes a claim against any of the Releasees named above, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF SUCH CLAIM.
我特此發布、免除、不起訴並同意對組織者 (C.A.M.P.)、講師、他們各自的管理人員、董事、代理人、官員、志願者和僱員、任何讚助商和 Camp Oljato 的所有責任進行賠償和保護 、索賠、要求、損失或損害，全部或部分由“免責人”的疏忽或其他原因造成或據稱造成，包括疏忽的救援行動，並進一步同意，如果儘管有此免責書，我， 未成年人或代表未成年人的任何人對上述任何被免責人提出索賠，我將賠償、保存並使每個被免責人免於承擔任何訴訟費用、律師費、損失責任、損害或任何可能產生的費用 作為此類索賠的結果。

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND IT’S TERMS, UNDERSTAND THAT I AND THE MINOR HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY THE LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
我已閱讀並了解本協議，我和我的子女會放棄所以追究的權力，這是全面無條件地允許最大範圍的授權法律。並同意如若發現這份文件的任何部份不據法律效力，都應繼續其承諾。我理解並同意我的孩子參加所有射箭和槍支安全培訓計劃。 我和我的孩子們明白這個活動將向公眾開放。 我同意並確保向我的孩子發出指示，如果他/她遇到被認為不安全的環境，他/她將在任何時候立即停止參加所有活動