Tyee Middle School - 2023-2024 Release of Liability for YMCA Camp Orkila
Welcome families! We are so excited that your child will have the opportunity to attend Y Camp this year as part of our Outdoor Environmental Education Program. Please take a few minutes to provide us with the following information and authorization to attend.
Please complete the following parent or guardian information:
Please complete the following parent or guardian information:
I am providing authorization for the following participant:
I am providing authorization for the following participant:
Which of the following is the participant?
Which of the following is the participant?
PHOTO RELEASE:I hereby consent to the use, publication and display, by or on behalf of the YMCA of Greater Seattle, any photograph, video or digital image and any reproduction thereof in which I or my minor child may be portrayed or identified.  It is understood that the YMCA may use, publish, broadcast and display such photographs, videos, digital images or reproductions thereof, in whole or in part, for any business purpose in their individual discretion, including media coverage of YMCA programs and activities.  I waive all claim for any compensation for such use.
PHOTO RELEASE:

I hereby consent to the use, publication and display, by or on behalf of the YMCA of Greater Seattle, any photograph, video or digital image and any reproduction thereof in which I or my minor child may be portrayed or identified.  It is understood that the YMCA may use, publish, broadcast and display such photographs, videos, digital images or reproductions thereof, in whole or in part, for any business purpose in their individual discretion, including media coverage of YMCA programs and activities.  I waive all claim for any compensation for such use.
I am aware that I or my child will have the opportunity to participate in camp activities involving a degree of risk.  These activities may include warm ups, games involving running, group initiative problems, and other rigorous physical adventure activities.   I also understand that being out-of-doors for periods of time , I or my child may be exposed to wind, rain, and other natural elements, fire or wildlife.  Outside of structured class time, students will have the opportunity to participate in camp-facilitated activities including: field and court games, archery, row boats, arts and crafts and marine tank exploration.  I am aware that participation in these activities is by the choice of the student and has inherent risks.  If doing a high and low ropes/challenge course, I understand that, wearing harnesses and helmets, I or my child may be climbing trees, walking on cables and logs that are suspended in the air.  I understand that there is a degree of physical and emotional risk associated with this type of activity. Recognizing that Camp Orkila will do its best to ensure a safe experience, I understand that certain dangers exist and accidents may occur.  I agree to release and indemnify the YMCA of Greater Seattle (its directors, officers, employees, agents and volunteers, collectively “YMCA”) from any loss, damage or cost incurred due to my or my child’s participation in the Outdoor Environmental Education program.   I assume full responsibility for the risk of such loss, liability, damage, injury or death except for losses resulting from the sole negligence of the YMCA.
I am aware that I or my child will have the opportunity to participate in camp activities involving a degree of risk.  These activities may include warm ups, games involving running, group initiative problems, and other rigorous physical adventure activities.   I also understand that being out-of-doors for periods of time , I or my child may be exposed to wind, rain, and other natural elements, fire or wildlife.  Outside of structured class time, students will have the opportunity to participate in camp-facilitated activities including: field and court games, archery, row boats, arts and crafts and marine tank exploration.  I am aware that participation in these activities is by the choice of the student and has inherent risks. 

If doing a high and low ropes/challenge course, I understand that, wearing harnesses and helmets, I or my child may be climbing trees, walking on cables and logs that are suspended in the air.  I understand that there is a degree of physical and emotional risk associated with this type of activity.

Recognizing that Camp Orkila will do its best to ensure a safe experience, I understand that certain dangers exist and accidents may occur.  I agree to release and indemnify the YMCA of Greater Seattle (its directors, officers, employees, agents and volunteers, collectively “YMCA”) from any loss, damage or cost incurred due to my or my child’s participation in the Outdoor Environmental Education program.   I assume full responsibility for the risk of such loss, liability, damage, injury or death except for losses resulting from the sole negligence of the YMCA.
In consideration of being permitted to utilize the facilities, services and programs of the YMCA of Greater Seattle (“YMCA”) for any purpose including but not limited to, observation or use of facilities and equipment and participation in any program or receipt of any service affiliated with the YMCA without respect to location, I, on behalf of myself and my family members, hereby:Acknowledge that I have (a) read and understand this release and waiver of liability; (b) had the opportunity to review or seek information about the YMCA’s facilities, equipment, programs and services, and to carefully consider such facilities, equipment, programs and services; (c) understand that the YMCA’s facilities include its parking lot(s) and grounds; (d) accept the facilities, equipment, programs and services as being safe and reasonably suited for the purposes intended and (e) voluntarily sign this release and waiver of liability.Nationwide Membership Visitor: Agree that by participating in the YMCA Nationwide Membership Program, I release the YMCA and the National Council of Young Men’s Christian Association of the United States of America (Y USA) and its independent and autonomous member associations in the United States and Puerto Rico, from any claims of negligence for bodily injury or death in connection with the use of YMCA facilities, and from any liability for other claims, including loss of property to the fullest extent of the law.Required Photo ID for Members: Agree that I and my family members and dependents will maintain a photo(s) on file for my account. This photo must be a visual image/representation that can be used as positive identification; to facilitate relationship-building; to prevent use of membership card by others, and for a required criminal background check. If no photo ID is on file, I and my adult family members and dependents agree to produce a government issued photo ID when we check in for each visit to a YMCA facility.Sex Offender Screening - The YMCA conducts regular sex offender screenings on all members, participants, and guests. If a sex offender match occurs, the YMCA reserves the right to cancel membership, end program participation, and remove visitation access.Release the YMCA, its directors, officers, employees, agents and volunteers (collectively “YMCA Releasees”) from all liability to me and my family members and dependents for any loss or damage done to property or injury or death to our persons, whether caused by the ordinary negligence of the YMCA Releasees or any other person, and while I or my family members or dependents are in, upon, or about any YMCA facilities or equipment therein or participating in any program or receiving any service affiliated with the YMCA.Agree not to sue the YMCA Releasees for any loss, liability, damage, injury or death described above and to indemnify and hold harmless the YMCA Releasees and each of them from any loss, damage or cost they may incur due to my or my family members’ or dependents’ presence in, upon or about any YMCA facilities or equipment therein or our participation in any program or service affiliated with the YMCA whether caused by the ordinary negligence or willful act or omission of the YMCA Releasees or by any other person. I assume full responsibility for the risk of such loss, liability, damage, injury, or death.Agree to waive any liability arising out of any infectious, pathogenic, toxic, or other harmful properties of any “organic pathogen”, which includes but may not be limited to bacteria, viruses or other pathogens whether or not a microorganism, regardless of whether such “organic pathogen” is the result of a local outbreak, epidemic, pandemic or unknown cause.I intend for this release and waiver of liability to be as broad and inclusive as is permitted by the laws of the State of Washington. If any portion hereof is held invalid, I agree that the balance shall continue in full force and effect.
In consideration of being permitted to utilize the facilities, services and programs of the YMCA of Greater Seattle (“YMCA”) for any purpose including but not limited to, observation or use of facilities and equipment and participation in any program or receipt of any service affiliated with the YMCA without respect to location, I, on behalf of myself and my family members, hereby:

  1. Acknowledge that I have (a) read and understand this release and waiver of liability; (b) had the opportunity to review or seek information about the YMCA’s facilities, equipment, programs and services, and to carefully consider such facilities, equipment, programs and services; (c) understand that the YMCA’s facilities include its parking lot(s) and grounds; (d) accept the facilities, equipment, programs and services as being safe and reasonably suited for the purposes intended and (e) voluntarily sign this release and waiver of liability.
  2. Nationwide Membership Visitor: Agree that by participating in the YMCA Nationwide Membership Program, I release the YMCA and the National Council of Young Men’s Christian Association of the United States of America (Y USA) and its independent and autonomous member associations in the United States and Puerto Rico, from any claims of negligence for bodily injury or death in connection with the use of YMCA facilities, and from any liability for other claims, including loss of property to the fullest extent of the law.
  3. Required Photo ID for Members: Agree that I and my family members and dependents will maintain a photo(s) on file for my account. This photo must be a visual image/representation that can be used as positive identification; to facilitate relationship-building; to prevent use of membership card by others, and for a required criminal background check. If no photo ID is on file, I and my adult family members and dependents agree to produce a government issued photo ID when we check in for each visit to a YMCA facility.
  4. Sex Offender Screening - The YMCA conducts regular sex offender screenings on all members, participants, and guests. If a sex offender match occurs, the YMCA reserves the right to cancel membership, end program participation, and remove visitation access.
  5. Release the YMCA, its directors, officers, employees, agents and volunteers (collectively “YMCA Releasees”) from all liability to me and my family members and dependents for any loss or damage done to property or injury or death to our persons, whether caused by the ordinary negligence of the YMCA Releasees or any other person, and while I or my family members or dependents are in, upon, or about any YMCA facilities or equipment therein or participating in any program or receiving any service affiliated with the YMCA.
  6. Agree not to sue the YMCA Releasees for any loss, liability, damage, injury or death described above and to indemnify and hold harmless the YMCA Releasees and each of them from any loss, damage or cost they may incur due to my or my family members’ or dependents’ presence in, upon or about any YMCA facilities or equipment therein or our participation in any program or service affiliated with the YMCA whether caused by the ordinary negligence or willful act or omission of the YMCA Releasees or by any other person. I assume full responsibility for the risk of such loss, liability, damage, injury, or death.
  7. Agree to waive any liability arising out of any infectious, pathogenic, toxic, or other harmful properties of any “organic pathogen”, which includes but may not be limited to bacteria, viruses or other pathogens whether or not a microorganism, regardless of whether such “organic pathogen” is the result of a local outbreak, epidemic, pandemic or unknown cause.

I intend for this release and waiver of liability to be as broad and inclusive as is permitted by the laws of the State of Washington. If any portion hereof is held invalid, I agree that the balance shall continue in full force and effect.