We thank you for your understanding and help with these matters. If you have any questions
regarding camp policies, please call or stop in to talk to us. We can be reached at (716) 693-2307 until
June 24th. Once camp begins we can be reached at (716) 743-8033. Please keep a copy of this
handbook for your records and return the next page to us with all other required information.
By virtue of this agreement, you acknowledge the contagious nature of COVID-19 and voluntarily
assume the risk that my child/children and I may be exposed to or infected by COVID-19 by attending
the Club and that such exposure or infection may result in personal injury, illness, permanent
disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at
the Club may result from actions, omissions, or negligence of myself and others, including, but not
limited to, Club employees, volunteers, and program participants and their families.
● I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any
injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and
death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren)
may experience or incur in connection with or in any way arising out of my child(ren)’s
attendance at the Club or participation in Club programming (“Claims”). On my behalf, and on
behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the
Club, its employees, agents, and representatives, of and from the Claims, including all
liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating
thereto. I understand and agree that this release includes any and all Claims based on the
actions, omissions, or negligence of the Club, its employees, agents, and representatives,
whether a COVID-19 infection occurs before, during, or after participation in any Club program.
● I do hereby give my son/daughter permission to attend and participate in activities sponsored
by the Boys & Girls Clubs of the Northtowns
● I hereby release the Boys & Girls Clubs of the Northtowns, its employees, associates, and
contributors from liability from any injury, loss or theft incurred by a child while participating.
● I hereby authorize medical examination and emergency treatment for my child by a qualified,
licensed physician in the event of an accident.
By signing this page, I acknowledge that I have read and understand the terms and
agreements of the parent handbook for The Boys & Girls Clubs of the Northtowns
Camp Spirit 2024.
Parent Signature Date
Parent Name
Camper Name