Individual Release and Indemnity - Hold Harmless
I understand that the use of facilities at Michigan Anglers' Camp at Camp Rotary (the “MCC Property”), a camp or office property owned or operated by Michigan Crossroads Council, Inc. Scouting America or one of its subsidiary councils (collectively, the “MCC”), and the conduct of activities at the MCC Property are strenuous and involve risk (including, without limitation, the risks of serious injury, permanent injury and death).
After careful analysis of the risks involved, and in consideration of the benefits to be derived by the undersigned from the use of, and activities at, the MCC Property, as well as for other good and valuable consideration (the receipt and sufficiency of all of which are hereby acknowledged), the undersigned hereby:
1. Waiver of Liability. EXPRESSLY WAIVES AND RELEASES all claims, causes of action, costs, damages, expenses, losses, liabilities and suits (including, without limitation, any claim, cause of action, demand or assertion of liability under any municipal, state, federal or other law (including any action under the Americans with Disabilities Act)) against (i) Scouting America, Inc., (ii) MCC, and (iii) all affiliates, agents, associates, chartered organizations, directors, employees, officers, leaders, members, representatives, servants and volunteers of each of the foregoing (all of the persons and entities described in clauses (i)-(iii) being, jointly and severally, the “Indemnified Persons”), on account of any personal injury, property loss, damage, accident, death, injury, illness, or loss suffered by the undersigned that arises from, or as a result of, or incidental to, or in connection with, the undersigned’s use of, or presence on, the MCC Property or any services, structures or equipment located in, on or about the MCC Property (a “Loss”) and further agrees and covenants not to sue or make such claims on behalf of myself, my minor children, and assigns, heirs, or survivors.
2. Indemnification: AGREES TO indemnify and hold harmless the Indemnified Persons, and each of them, and will assume liability for and reimburse the Indemnified Persons, and each of them, for (i) any such Loss, (ii)any claim, cause of action, demand or assertion of liability under any municipal, state, federal, or other law(including any action under the Americans with Disabilities Act) (a “Claim”); and (iii) any loss, liability, claim, damage and expense (including, discovery costs, investigation costs and reasonable attorneys’ fees and expenses)suffered or incurred by the Indemnified Persons arising from, or as a result of, or incidental to, or in connection with, any such Loss or Claim.
3. Fitness: AFFIRMS that I have the mental and physical fitness for any activity in which I am participating and will comply with all applicable rules.
MCC Property: Camp Rotary
Starting Date: Date specified on the first page of this form
Ending Date: Date specified on the first page of this form
