Kid's Summer Camp Liability Waiver Form

Participant Agreement, Release, and Acknowledgement of Risks

Camper Information:

Date of Birth: [DATE OF BIRTH]

Understanding and Acceptance of Risks

As the parent or guardian of [CAMPER FULL NAME], I understand and acknowledge the following:

  1. Activity Risks: Summer camps involve various activities, which can include physical exertion, and have inherent risks ranging from minor injuries to serious harm.
  2. Health and Safety: I affirm that I have informed [CAMP NAME] of any known medical conditions, allergies, or medications relevant to the camper's participation. Additionally, I will provide any necessary dietary and medical restrictions.
  3. Voluntary Participation: I voluntarily enroll my child in the camp's activities with full awareness of the associated risks and responsibilities.

Liability Release

I hereby release, indemnify, and hold harmless [CAMP NAME], its staff, volunteers, and other agents from any claims, damages, liabilities, or demands resulting from any harm, injury, or incident my child might experience while participating in the camp's activities.

Medical and Dietary Information

I have provided accurate information regarding any medical concerns, medications, allergies, or dietary restrictions related to [CAMPER FULL NAME]. This information will be used solely for ensuring the camper's safety and well-being.

Parent/Guardian Signature and Contact Details

Participant is Age 18.

Name: Mobile Phone: Email:


Full Name: ____________________________
Phone: ____________________________
Email: ____________________________
Signature: ____________________________ Date: __________
Emergency Contact Name: ____________________________
Emergency Contact Phone: ____________________________
Medical Concerns/Dietary Restrictions: ____________________________

*Note: This Kid's Summer Camp Liability Waiver Form is intended as a general guideline. It's essential to consult with a legal expert in your jurisdiction to ensure its enforceability and compliance with local laws.