Father-Son Camping Trip

Consent Form and Liability Waiver

Name of Father/Guardian Participating in the Father-Son Camping Trip:

_________________________________________________________

Name(s) of Participating Child(ren):

______________________________________________________________________________

______________________________________________________________________________

Home Address:_________________________________________________________________

Home Phone ______________________________ Cell Phone ___________________________

I understand that the Father-Son Camping Trip has inherent—foreseen and

unforeseen—dangers. Nevertheless, I freely assume all risks arising out of this event and I agree
on behalf of myself, my child(ren) named above, or our heirs, successors, and assigns to hold
harmless and defend the organizers of the Father-Son Camping Trip, the chaperones,
coordinators, or representatives associated with the event, from any claim arising from or in
connection with us attending the event or in connection with any illness or injury (including
death) or costs of related medical treatment.

Father/Legal Guardian’s Name: __________________________________________

Father/Legal Guardian’s Name Signature ___________________________________

Date: _____________________________