Page 17 - DayCampBrochure2026

Waiver

Western DuPage Special Recreation Association
IMPORTANT INFORMATION

The Western DuPage Special Recreation Association (WDSRA) is committed to conducting its recreation programs and
activities in a safe manner and holds the safety of participants in high regard. WDSRA continually strives to reduce such
risks and insists that all participants follow safety rules and instructions that are designed to to protect participants’ safety.
However, participants and parents/guardians of minors for this program/activity must recognize that there is an inherent risk
of injury when choosing to participate in recreational activities.
You are solely responsible for determining if you or your minor child/ward are physically fit and/or skilled for activities
contemplated by this agreement. It is always advisable, especially if the participant is pregnant, disabled in any way, or
recently suffered an illness, injury, or impairment, to consult a physician before undertaking any physical activity.
Warning of Risk
Despite careful and proper preparation, instruction, medical advice, conditioning, and equipment, there is still a risk of
serious injury when participating in any recreational activity/program. Understandably, not all hazards and dangers can
be foreseen. Participants must understand that certain risks, dangers, and injuries due to acts of God, inclement weather,
slipping, falling, equipment failure, failure in supervision, premise defect, and all other circumstances inherent to recreational
activities/programs exist. In this regard, it must be recognized that it is impossible for WDSRA to guarantee absolute safety.
Waiver and Release of All Claims and Assumption of Risk
Please read this form carefully and be aware that in the signing and participating in this program/activity, you will be
expressly assuming the riskand legal liability and waiving and releasing all claims for injuries, damages, or loss which you or
your minor child/ward might sustain as a resultof participating in any and all activities connected with and associated with
this program/activity (including transportation services, when provided).

I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity, and I
voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/
ward may have (or accrue to me or my child/ward) as a result of participating in this program/activity against WDSRA,
including officials, agents, volunteers and employees (hereinafter collectively referred as WDSRA).
I do hereby fully release and forever discharge WDSRA from any and all claims for injuries, damages, or loss that my minor
child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, io in any
way associated with this program/activity.
In the event of an emergency, I understand and authorize WDSRA staff and officials to secure from any licensed hospital,
physician and/or medical personnel any treatment deemed necessary for immediate care for myself or minor/ward and agree
that I will be responsible for payment of any and all medical services rendered.
Photo/Video Release
I hereby authorize and give my consent to WDSRA to photograph/video my child (or me) or to obtain outside photographs/
video of my child (or me) participating in WDSRA activities/events/programs, and without limitation, to use such
photographs/video in connection with promoting/advertising the services, programs, and facilities of WDSRA, without
consideration of any kind.
You must sign and date the bottom of the reverse side of this form before your registration can be processed. Participation
will be denied if the signature of adult participant or parent/guardian and date are not on the front of this waiver.

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