This form maybe mailed or emailed.
Chuck Warner’s 2011 ARETE ADVENTURE SWIM CAMP
RELEASE AND INDEMNIFICATION AGREEMENT
Participant information:
Name_______________________________________________________
Address______________________________________________________
City______________________State_______Zip______________________
Description of activity: Participation in the Arete Swim Camp
Camp Session: August 30-September 1
Location:
Camp Cromwell, Martinsville, NJ
I am the Parent/Legal Guardian of the above named Participant who is under the age of eighteen years old and am fully competent to
sign this agreement. In consideration of Participant being permitted to participate in the Activity and to use the program’ facilities and
equipment, I hereby accept all risk to Participant’s health and of his/her injury or death that may result from such participation and
hereby release the above named institution , its governing board, officers, employees and representatives from any and all liability to
Participant, Participants’ personal representatives, estate, heirs, next of kin, and assigns for any and all claims and causes of action for
loss or damage to Participants property and for any and all illness or injury to Participant’s person, including his/her death, that may
result from or during Participant’s participation in the Activity, whether caused by negligence of the Institution, its governing board,
officers, employees, and representatives from liability for the death or injury of any person(s) and damage to property that may result
from Participant’s negligent or intentional act or omission while participating in the described Activity.
I also understand that the Arete Swim Camp retains the right to use for publicity and advertising purposes photographs of Participant
taken at Camp.
I HAVE CAREFULLY READ THIS AGREEEMENT AND UNDERSTAND IT TO BE A RELEASE OFF ALL CLAIMS AND CUASES OF
ACTION FOR PARTICIPANTS INJURY OR DEATH OR DAMAGE TO PARTICIPANTS PROPERTY THAT OCCURS WHILE
PARTICIPATING IN THE DESCRIBED ACTIVITY AND IT OBLIGATES ME TO INDEMNIFY THE PARTIES NAMES FOR ANY
LIABILITY FOR INJURY OR DEATH OF ANY PERSON AND DAMAGE TO PROPERTY CAUSED BY PARTICIPANT’S NEGLIGENT
OR INTENTIONAL ACT OR OMISSION.
_____________________________________________
Signature of Parent/Guardian
_________________________
Date Signed
______________________________________________________________________________
Address (if different than Participant above)
____________________________________________
Signature of Witness
_________________________
Date Signed
Camper Conduct Agreement
As a member of the Camp Cromwell community, you will enjoy many of the same privileges as other Camp Cromwell participants and
are asked accept responsibility for mature, acceptable behavior. The following are the guidelines you are expected and agree to abide
by:
Respect for others: Camp Cromwell is a community that consists of different backgrounds and beliefs. Racist, sexist, insulting or
hateful comments and behavior are unacceptable and will not be tolerated.
Substance abuse: Alcohol and illegal drugs are forbidden. Use of these substances will result in disciplinary action and immediate
dismissal from camp.
Damages or loss: Campers are expected to respect the Camp Cromwell property. All campers assume responsibility for damages or
losses in residences. It is essential that rooms be kept locked at all times. Camp Cromwell and Arete Swim Camp are not responsible
for lost or stolen items.
Use of facilities: All the facilities used at the ARETE ADVENTURE Swim Camp are Camp Cromwell properties. Please exercise
respect and courtesy in the locker rooms and on the pool deck. All the grounds of Camp Cromwell can be shared with the Camp
Cromwell community and must be treated with respect.
As an Arete Swim Camp participant, you are required to read and understand the above rules and to comply with camp policies. These
guidelines will be reviewed during our camp orientation. Failure to regard the regulations will result in immediate dismissal from camp
without refund.
I have read, understand and accept the policies outlined above:
I ______________________________________________  I accept.
Camper’s name/signature
_______________________________________________________
Print Camper’s Name
___________________________________________
Camper’s Parent/Guardian Signature
______________
Date