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Camp Monroe PO Box 475 Monroe NY 10949 845-782-8695 / 845-782-2247 (fax) Release Form Signed by Camper I have requested Camp Monroe to allow me to participate in the scheduled activities that are listed in the camp literature and participate in a Bunk’s Activity Schedule. As a condition of receiving this benefit, I, the undersigned, do hereby agree to the following: I understand that my participation in this activity can expose me to dangers both from known and unanticipated risks. Acknowledging that such risks exist, I hereby release and discharge Camp Monroe, its officers, agents, director and employees from any and all claims or liability for personal injury or property damage I may suffer while participating in the activity; including, but not limited to, any claim arising out of any condition of the premises at which the activity is held or the conduct of any person in connection with the preparation for, supervision of, or conduct of any activity, whether planned or unplanned. I specifically agree to release and hereby release Camp Monroe and the officers, agents, director, and employees of the camp for any negligence of the camp, or its officers, agents or employees.

Visitor/Camper Signature____________________________________

Visitor/Camper Name_______________________________________

Date________________ Camp Monroe PO Box 475 Monroe NY 10949 845-782-8695 / 845-782-2247 (fax)

Our insurance company requires this form signed by visitor/campers and their parents. It is now also a customary form recommended by the American Camp Association and is part of the standard package for camps. It is required for any child to be permitted to be at camp.

Please sign and return. Stanley & Hope

Release Form Signed by Parent I have requested Camp Monroe to allow my Child ___________________________ to participate in the scheduled activities that are listed in the camp literature and appear in a child’s Bunk Activity Schedule. As a condition of receiving this benefit, I, the undersigned, do hereby agree to the following: I understand that participation in this activity can expose my child to dangers both from known and unanticipated risks. Acknowledging that such risks exist, I hereby release and discharge Camp Monroe, its officers, agents, director and employees from any and all claims or liability for personal injury or property damage that my child may suffer while participating in the activity; including, but not limited to, any claim arising out of any condition of the premises at which the activity is held or the conduct of any person in connection with the preparation for, supervision of, or conduct of any activity, whether planned or unplanned. I specifically agree to release and hereby release Camp Monroe and the officers, agents, director, and employees of the camp for any negligence of the camp, or its officers, agents or employees.

Parent Signature____________________________________ Parent Name_____________________

Camper Name_______________________________________ Date________________

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