Common use of Transportation Release Clause in Contracts

Transportation Release. I understand that, as part of the camp, my child may be transported to different locations in Spokane County. I hereby give permission for my child to be transported for camp activities by modes of transportation determined by camp personnel. By my signature below, I certify I am the legal parent or guardian of the named child, am over the age of 18 and legally competent to sign this form. I certify that I have completely read this document, understand its provisions, and voluntarily accept its terms which constitute legally binding consent, assumption of risk, waiver of claims, and indemnity for participating in EWU Camp Programs. Child’s Name (Please Print) Child’s Date of Birth Parent/Guardian’s Printed Name Parent/Guardian’s Signature / Date Eastern Washington University EWU CAMP PROGRAMS – 2022 MEDICAL, HEALTH INSURANCE, AND CONTACT INFORMATION (for Minors) NOTE: This page is required for minors who wish to participate in EWU Internal Camp Programs. This page is not required for External Camps that are held on the EWU Campus. Camp Name Camp Dates Camper Information (Please print) Name: (first, middle & last) Birthdate: Age: Gender: Email: Mailing Address: City: State: Zip Code: Emergency Contact Information Name: Relation: Alternate Emergency Contact Information Home Phone: Cell Phone: Work Phone: Name: Relation: Phone: Health Insurance Coverage Information Insurance Provider: Policy / ID Number: Subscriber Name: Providers Address: City: State: Zip Code: Health Information Please list any medical conditions your child has that we need to be aware of, including any requiring maintenance medication (e.g. Diabetes, Asthma, Seizures). Medical Problem Required Treatment Should Paramedic be Called? Yes No Yes No Yes No Is your child presently being treated for any injury or sickness, or taking any form of medication that we need to be aware of? Yes No If yes, please explain: Is your child allergic to any type of food or medication? Yes No If yes, please explain: Does your child require a special diet? Yes No If yes, please explain: The purpose of this information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment. I certify that the above information is complete and accurate:

Transportation Release. I understand that, as part of the camp, my child may be transported to different locations in Spokane County. I hereby give permission for my child to be transported for camp activities by modes of transportation determined by camp personnel. By my signature below, I certify I am the legal parent or guardian of the named child, am over the age of 18 and legally competent to sign this form. I certify that I have completely read this document, understand its provisions, and voluntarily accept its terms which constitute legally binding consent, assumption of risk, waiver of claims, and indemnity for participating in EWU Camp Programs. Child’s Name (Please Print) Child’s Date of Birth Parent/Guardian’s Printed Name Parent/Guardian’s Signature / Date Eastern Washington University EWU CAMP PROGRAMS – 2022 MEDICAL, HEALTH INSURANCE, AND CONTACT INFORMATION (for Minors) NOTE: This page is required for minors who wish to participate in EWU Internal Camp Programs. This page is not required for External Camps that are held on the EWU Campus. Camp Name Camp Dates Camper Information (Please print) Name: (first, middle & last) Birthdate: Age: Gender: Email: Mailing Address: City: State: Zip Code: Emergency Contact Information Name: Relation: Alternate Emergency Contact Information Home Phone: Cell Phone: Work Phone: Name: Relation: Phone: Health Insurance Coverage Information Insurance Provider: Policy / ID Number: Subscriber Name: Providers Address: City: State: Zip Code: Health Information Please list any medical conditions your child has that we need to be aware of, including any requiring maintenance medication (e.g. Diabetes, Asthma, Seizures). Medical Problem Required Treatment Should Paramedic be Called? Yes No Yes No Yes No Is your child presently being treated for any injury or sickness, or taking any form of medication that we need to be aware of? Yes No If yes, please explain: Is your child allergic to any type of food or medication? Yes No If yes, please explain: Does your child require a special diet? Yes No If yes, please explain: The purpose of this information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment. I certify that the above information is complete and accurate:

Transportation Release. I understand that, as part of the camp, my child may be transported to different locations in Spokane County. I hereby give permission for my child to be transported for camp activities by modes of transportation determined by camp personnel. By my signature below, I certify I am the legal parent or guardian of the named child, am over the age of 18 and legally competent to sign this form. I certify that I have completely read this document, understand its provisions, and voluntarily accept its terms which constitute legally binding consent, assumption of risk, waiver of claims, and indemnity for participating in EWU Camp Programs. Child’s Name (Please Print) Child’s Date of Birth Parent/Guardian’s Printed Name Parent/Guardian’s Signature / Date Eastern Washington University EWU CAMP PROGRAMS – 2022 MEDICAL, HEALTH INSURANCE, AND CONTACT INFORMATION (for Minors) NOTE: This page is required for minors who wish to participate in EWU Internal Camp Programs. This page is not required for External Camps that are held on the EWU Campus. Camp Name Camp Dates Camper Information (Please print) Name: (first, middle & last) Birthdate: Age: Gender: Email: Mailing Address: City: State: Zip Code: Emergency Contact Information Name: Relation: Alternate Emergency Contact Information Home Phone: Cell Phone: Work Phone: Name: Relation: Phone: Health Insurance Coverage Information Insurance Provider: Policy / ID Number: Subscriber Name: Providers Address: City: State: Zip Code: Health Information Please list any medical conditions your child has you have that we need to be aware of, including any requiring maintenance medication (e.g. Diabetes, Asthma, Seizures). Medical Problem Required Treatment Should Paramedic be Called? Yes No Yes No Yes No Is your child Are you presently being treated for any injury or sickness, or taking any form of medication that we need to be aware of? Yes No If yes, please explain: Is your child Are you allergic to any type of food or medication? Yes No If yes, please explain: Does your child Do you require a special diet? Yes No If yes, please explain: The purpose of this information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment. I certify that the above information is complete and accurate:

Transportation Release. I understand that, as part of the camp, my child may be transported to different locations in Spokane County. I hereby give permission for my child to be transported for camp activities by modes of transportation determined by camp personnel. By my signature below, I certify I am the legal parent or guardian of the named child, am over the age of 18 and legally competent to sign this form. I certify that I have completely read this document, understand its provisions, and voluntarily accept its terms which constitute legally binding consent, assumption of risk, waiver of claims, and indemnity for participating in EWU Camp Programs. Child’s Name (Please Print) Child’s Date of Birth Parent/Guardian’s Printed Name Parent/Guardian’s Signature / Date Eastern Washington University EWU CAMP PROGRAMS – 2022 2024 MEDICAL, HEALTH INSURANCE, AND CONTACT INFORMATION (for Minors) NOTE: This page is required for minors who wish to participate in EWU Internal Camp Programs. This page is not required for External Camps that are held on the EWU Campus. Camp Name Camp Dates Camper Information (Please print) Name: (first, middle & last) Birthdate: Age: Gender: Email: Mailing Address: City: State: Zip Code: Emergency Contact Information Name: Relation: Alternate Emergency Contact Information Home Phone: Cell Phone: Work Phone: Name: Relation: Phone: Health Insurance Coverage Information Insurance Provider: Policy / ID Number: Subscriber Name: Providers Address: City: State: Zip Code: Health Information Please list any medical conditions your child has that we need to be aware of, including any requiring maintenance medication (e.g. Diabetes, Asthma, Seizures). Medical Problem Required Treatment Should Paramedic be Called? Yes No Yes No Yes No Is your child presently being treated for any injury or sickness, or taking any form of medication that we need to be aware of? Yes No If yes, please explain: Is your child allergic to any type of food or medication? Yes No If yes, please explain: Does your child require a special diet? Yes No If yes, please explain: The purpose of this information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment. I certify that the above information is complete and accurate: