2026 Family Camp Safety Waiver "*" indicates required fields EmailThis field is for validation purposes and should be left unchanged.Names of All ParticipantsParent's Email* Parent's Contact Phone*MEDICAL RESTRICTIONS, AND ANYTHING YOU'D LIKE US TO KNOW* Participants named above have no physical, mental or medical condition that would adversely affect the ability to participate in the Valley Mill Camp program or that would affect his/her safety or the safety of the group. I agree to inform Valley Mill Camp of any such physical, mental, or medical condition should one develop in the future. * I understand and agree that in participating in the Valley Mill Camp program or using the equipment or facilities of Valley Mill Camp or receiving the instruction of Valley Mill Camp there is the possibility of accidental or other physical injury. I agree to assume the risk of such injury and further agree to indemnify Valley Mill Camp Inc., Seneca Joint Venture and all of their agents, employees, directors, officers, affiliates, successors, and assigns (collectively “Valley Mill Camp”) from any and all liability as a result of our use of the facilities, equipment and instruction offered by Valley Mill Camp. * I agree that I am 18 years of age or older, and that I have the legal authority to grant this permission to Valley Mill Camp Inc * By checking the above checkbox, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary. Type Name of Signer* First Last Date* MM slash DD slash YYYY