Location: Ingham Okoboji Lutheran Bible Camp, 1203 Inwan Street, Milford, IA 51351
Check In: Friday, February 23 4:00 p.m. to 6:00 p.m.
Start Time: Friday, February 23, 6:30 p.m. Eat dinner prior to arriving at camp
Online Registration must be completed by February 15.
Chief Master Jager and Chief Master Hoover are excited to invite you to join in the 30th Region 114 Black Belt Camp. The yearly camps have kept Region 114 close and strong and we are looking forward to another great weekend of comradery, training and motivation. Certified and Trainee Instructors please consider this as a mandatory gathering of 114’s finest.
HOLD HARMLESS AND LIABILITY RELEASE AND WAIVER AGREEMENT
REGION 114’S 2018 OKOBOJI BLACK BELT CAMP FEBRUARY 23 & 24, 2018
I, ________________, have voluntarily submitted my application for registration in the Region 114’s 2018 Okoboji Black Belt Camp. By submitting the application for registration, I certify that I am fully aware of and understand the inherent dangers in participating in activities involving taekwondo and other martial arts, and of the basic safety rules and procedures.
I am signing this Release in full knowledge that the Camp is, by its nature, a strenuous activity in an outdoor environment. I fully realize through my own past activity that taekwondo practice is a difficult physical activity which frequently includes strenuous exercises and body contact, along with associated dangers. I recognize in addition that any activity in an outdoor environment has its own potential dangers for which, with the taekwondo activity, I accept personal responsibility and absolve any other person or group.
I understand and agree that the organizers of the ATA Black Belt Camp, the ATA, the Camp officials, or any other Camp participant will not be responsible for my safety, nor will any of these parties or individuals serve as a guardian of my safety.
I understand and agree that neither this Camp, the organizers of the Camp, the ATA, the Camp directors, officials, their agents or assigns, or any other individual or entity associated with this Black Belt Camp or the ATA may be held liable in any way for any occurrence, or event in connection with this Black Belt Camp which may result in injury, death, or any and all damages to me or to my family, descendants, heirs or assigns.
I understand and agree that in consideration of being allowed to be a participant in this Black Belt Camp, I hereby personally assume any and all risks involved in connection with this Black Belt Camp; and furthermore, I release forever the aforementioned organizers of this Black Belt Camp, the ATA, the Camp directors and officials, their agents and assigns, and any other individual or entity associated with this Camp or the ATA, for any harm, injury or damage that may occur to me or befall me while I am a participant in this Black Belt Camp, including any and all risks connected therewith, whether foreseen or unforeseen, including any risks created and/or harm caused by any negligent act (excluding gross negligence or reckless behavior) or acts of any or all of the above-mentioned parties. Furthermore, I will hold harmless the above-mentioned parties from any claim by me, my family, my estate, my heirs, my personal representatives, or their assigns, arising out of my participation and being a participant in this Black Belt Camp.
I further state that I am of lawful age and legally competent to sign this agreement, and that my signing this agreement is my own free act (unless this is signed by parent or legal guardian). I also understand and agree that the terms herein are contractual, and they are not a mere recital or simply for information purposes.
I have read, understood and fully informed myself of the contents of this agreement. I assume my own responsibility for my physical condition and capability to perform under Black Belt Camp conditions.
TO BE SIGNED IF ABOVE IS EXECUTED BY PARENT OR LEGAL GUARDIAN
In consideration of the aforementioned activities, and as parent or legal guardian of the minor name above, I, on behalf of said Minor agree to indemnify and save harmless the organizers of the Black Belt Camp, the ATA, the Camp officials, directors, their agents or assigns, or other participants in the Camp, against any claim for damages, compensation or otherwise on the part of said minor or his/her heirs, executors or administrators and to reimburse or make good any loss or damages or costs that any of the above parties may have to pay if any litigation arises on account of any claims made by said minor or anyone in his/her behalf. Further, I release any claim or cause of action that I may personally have as parent or legal guardian resulting from any such injury or death to said minor.