Activities Waiver

I am signing this form for myself and on behalf of the following people, all of whom are members of my immediate family or under my legal care (my "family members"). I have authority to sign this form for all of my family members.

  • Challenge course (ages 8+)
  • Water Activites, including, but not limited to water slide, dunk tank, pool (all ages)
  • Disc Golf (all ages)
  • Activity Field activities (all ages)
Please note that not all activities are always offered and may not be available.

Enter names and ages below. Use "A" for adults and enter the age for children under 18.
  • I give permission for my Family/Group members to take part in all activities (including pool, water activities, disc golf, challenge course, activity field games) during our stay at SG as permitted by age restrictions.
  • My family members and I all understand that these activities can be dangerous. People can be injured or suffer fatal injuries through human error, equipment failure, or for no known reason.
  • I accept all responsibility for any harm that any of my family members may suffer through our participation in those activities. I agree to indemnify, defend, and hold harmless Summit Grove, whether the loss arises from the negligence of the camp or otherwise. We waive all claims for liability against Summit Grove or anyone connected with Summit Grove.
  • I agree that all my family members will follow the rules posted at each activity site and will completely follow any instructions given by Summit Grove staff.
  • My family members are physical and mentally fit for these activities. I authorize, and agree to pay for, any emergency medical care that my family members may need.
  • Any claim or dispute arising from or related to this agreement shall be settled by mediation and, if necessary, legally binding arbitration in accordance with the Rules of Procedure from Christian Conciliation of the Institute for Christian Conciliation, a division of Peacemaker Ministries (complete text of the Rules is available at www.Peachmaker.net). Judgment upon an arbitration decision may be entered in any court otherwise having jurisdiction. The parties understand that these methods shall be the sole remedy for any controversy or claim arising out of this agreement and expressly waive their right to file a lawsuit in any civil court against one another for such disputes, except to enforce an arbitration decision.
  • I have read this form carefully. I understand that by entering my name below, I am giving up all claims of any kind for loss or injury in connection with the authorized recreational activities. I am doing this in exchange for my family's/group's privilege of taking part in these activities.