Waiver and Release of Liability & Assumption of Risk Applicant’s Name(s): (1)___________________________________
(2) ____________________________________
(3) ____________________________________ has my permission to participate in Southern Palmetto Farms, LLC Summer Camp Program. I/we understand what the aforementioned activity involves and believe that the aforementioned person is in proper physical condition to participate. I/we assume all risks and hazards incidental to the conduct of any and all activities that may take place. In consideration of your accepting my entry, I hereby for myself, my child, my heirs, executors and administrators, waiver and release any and all rights and claims for damages I or my child may have against the Summer Camp Program, Southern Palmetto Farms LLC and its representatives, successors and assigns for any and all injuries or illness, including but not limited to, personal injury, (ex. Communicable disease, MRSA, influenza, COVID-19), suffered by myself or my child at any activity sponsored by these groups. I also give permission to Southern Palmetto Farms, LLC to use and display any photographs taken of me/my child, which may be forwarded to newspapers and other publications in which the photograph would be associated with the farm. In the event of an emergency requiring medical attention beyond first aid, I/we hereby grant permission to a physician or hospital personnel designated by Southern Palmetto Farms LLC Summer Camp Program and staff to provide medical emergency attention to the aforementioned person including hospitalization. Any expense from injury or illness is the responsibility of the parental insurance company.