Yes
No *

Manual
Power

AbilityCAMP Participant Waiver of Liability

I understand that the National Sports Center for the Disabled, WIN for KC and the Kansas City Sports Commission do not provide medical insurance and that I will be responsible for all medical expenses incurred. WIN for KC has adopted the following procedures in caring for your child if she becomes sick or injured while attending camp.
1) The camp will call home and cell phones, if there is no answer, 2) The camp will call the father's, mother's or guardian's place of employment, 3) the camp will call the emergency contacts, 4) If none of the above answer, the camp will call an ambulance, if necessary, to transport the child to a local medical facility, 5) Based on the judgment of the attending physician, the child may be admitted to a local medical facility, 6) The camp will continue to call the parents, guardian, and emergency contacts until one is reached. If I cannot be reached and the camp authorities have followed the above procedures, I agree to assume all expenses for moving and medically treating the camper.

In the event I cannot be reached in an emergency, I hereby give permission to the attending physician to hospitalize, secure proper treatment for, and to order injection and /or anesthesia and/or surgery for my child as named above. In case of an emergency, I give permission to the appropriate summer camp personnel to have my child properly transported to a medical facility for care immediately, and other staff will follow the procedures of contacting the parents.

I hereby approve the below named child's participation at the WIN for KC Camp WIN. I certify that she is able to participate in the program. In the event of an injury, clinic personnel are authorized to obtain any medical care deemed necessary. Having read this waiver and release, knowing these facts and in consideration of this application, I, for myself and anyone entitled to act on my behalf, waive and release and covenant not to sue, hold harmless, defend and indemnify, WIN for KC, Rockhurst University, sponsors, instructors, and volunteers, from any and all claims or liabilities, known or unknown, of any kind, including any negligence, arising out of or relating to the Camp.