PARTICIPANT AGREEMENT, RELEASE, AND ACKNOWLEDGENT OF RISK FOR TRIP ON (Dates) ____________________________ I hereby agree to release, indemnify, and discharge the leadership of Monroe Township BSA Troop 3 (Scoutmaster, Assistant Scoutmasters, Committee Persons, etc. - hereinafter collectively referred to as "Troop 3 Leaders"), on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate as follows: · I acknowledge that camping, hiking, swimming, boating, and all related activities entails known and unanticipated risks which could result in physical or emotional injury, paralysis, death or damage to myself, to property,or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. · I expressly agree and promise to accept and assume all risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks. · I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Troop 3 Leaders from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity. By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against Troop 3 Leaders on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms. Signature of Scout: ________________________ Print Name: _________________________ Address: __________________________________________________________________________ Emergency Phone Number: ____________________ Date: ______________________________ PARENT'S OR GUARDIANS ADDITIONAL INDEMNIFICATION (Must be completed for participants under the age of 18) In consideration of ____________________________ (print minor's name) ("Minor") being permitted by Troop 3 Leaders to participate in its activities and to use its equipment, I further agree to indemnify and hold harmless Troop 3 Leaders from any and all Claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor. I also give permission for Minor to receive emergency medical treatment should it be required. Parent or Guardian: _______________________ Print Name: ___________________________ Date: ______________________ Parent or Guardian: _______________________ Print Name: ___________________________ Date: ______________________