CAMP FORMS
Directions:
Please read and fill out the forms below. Once completed, press Submit at the bottom of the page in order to
send the forms. All forms must be completed and submitted before a participant is able to participate in any
activities at The Fields Sports Complex.
PHOTOGRAPHY / VIDEO / AUDIO RELEASE & CONSENT FORM CHILD / MINOR MODEL
In consideration of my engagement as a model, and for other good and valuable consideration herein
acknowledged as received, I hereby grant the following rights and permissions to The Fields Sports Complex
(“Photographer/Videographer”), his/her heirs, legal representatives, and assigns, those for whom
Photographer/Videographer is acting, and those acting with his/her authority and permission. They have the
absolute right and permission to take, use, reuse, publish, and republish photographic, video portraits or
pictures, and audio of the minor in which the minor may be included, in whole or in part, or composite or
distorted in character or form, without restriction as to changes or alterations from time to time, in conjunction
with or without the minor’s name, or reproductions of such photographs/video in color or otherwise, made
through any medium located onsite at the Photographer’s/Videographer’s studios or elsewhere, and in any
and all media now or hereafter known, including the internet, for art, advertising, trade, or any other purpose
whatsoever.
I also consent to the use of any published matter in conjunction with such photographs/video/audio. I
specifically consent to the digital compositing or distortion of the portraits, video pictures, or audio, including
without restriction any changes or alterations as to color, size, shape, perspective, context, foreground or
background. I waive the right that the minor or I may have to inspect or approve any finished product or
products or the advertising copy or printed matter that may be used in connection with such
photographs/video/audio or the use to which it may be applied. I understand that the images of me may be
used in advertisements to promote awareness of Photographer’s/Videographer’s or client programs and
products. I release, discharge, and agree to hold harmless and defend Photographer/Videographer, his/her
legal representatives or assigns, and all persons acting under his/her permission or authority or those for
whom he/she is acting, from any liability by virtue of any reason in connection with the making and use of
such photographs/video/audio footage, including blurring, distortion, alteration, optical illusion, or use in
composite form, whether intentional or otherwise, that may occur of be produced in the taking of said
picture/video/audio or in any subsequent processing thereof, as well as any publication of them, including
without limitation any claims for libel or violation of any right of publicity or privacy.
I hereby warrant that I am a legal competent adult and a parent or legally appointed guardian of the minor,
and that I have every right to contract for the minor in the above regard. I state further that I have read the
above authorization, release, and agreement, prior to its execution, and that I am fully familiar with the
consents of it. This release shall be binding upon the minor and me, and our respective heirs, legal
representatives, and assigns.
RELEASE & WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY & PARENTAL CONSENT AGREEMENT
IN CONSIDERATION of being allowed to participate in any way in the sports, recreation, and/or fitness activities (herein after each an "Activity"
and collectively the "Activities") I, for myself, and for my personal representatives, assigns, heirs, and next of kin:
1. ACKNOWLEDGE, agree, and represent that I understand the nature of the Activity or Activities and that I am qualified, in good health and in
proper physical condition, to participate in the Activity or Activities. I further agree and warrant that if at any time I believe conditions to be
unsafe, I will immediately discontinue further participation in the Activity or Activities.
2. FULLY UNDERSTAND THAT: (a) THE ACTIVITY or ACTIVITIES INVOLVE(S) RISKS AND DANGERS OF SERIOUS BODILY INJURY,
INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH ("RISKS"); (b) these RISKS and dangers may be caused by my own
actions or inactions, the actions or inactions of others participating in the Activity or Activities, the condition(s) in which the Activity or Activities
take(s) place, or THE NEGLIGENCE OF THE "RELEASEES"; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES
either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL
RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation, or that of the minor, in the Activity or
Activities.
3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE THE FIELDS SPORTS COMPLEX, its owners, administrators,
directors, agents, officers, members, volunteers, and employees, other participants, sponsors, advertisers, and, if applicable, owner and lessors
of premises on which the Activity or Activities take(s) place, (each considered one of the "RELEASEES" herein) FROM ALL LIABILITY,
CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY
THE NEGLIGENCE OF ONE OR MORE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND I
FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNIFY, SAVE, AND HOLD
HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as
the result of any such claim.
COMMUNICABLE DISEASE/COVID-19 RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT
In consideration of being allowed to participate in any way in The Fields (Sports Complex), Inc. programs, related events, and activities, I the
undersigned, on behalf of myself and my participating children or guardians, acknowledge, appreciate, and agree that:
1. I am aware there are risks to me of exposure to directly or indirectly arising out of, contributed to, by, or resulting from an outbreak of any and
all communicable disease, including but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, which is
responsible for Coronavirus Disease (COVID-19) and/or any mutation or variation thereof.
2. Participation in The Fields (Sports Complex), Inc., programs, events, and activities involves the potential exposure to, and illness from
infectious, communicable diseases, including COVID-19. While following Federal and State guidelines, and The Fields (Sports Complex), Inc.
COVID-19 Protocols may reduce the risk, THE RISK OF SERIOUS ILLNESS AND DEATH DOES EXIST. THE FIELDS (SPORTS COMPLEX)
CANNOT, AND DOES NOT GUARANTEE, WARRANT, OR REPRESENT THAT PARTICIPANTS WILL NOT CONTRACT A COMMUNICABLE
DISEASE, INCLUDING BUT NOT LIMITED TO COVID-19, AS A RESULT OF PARTICIPATION IN ITS PROGRAMS, EVENTS, OR
ACTIVITIES.
3.I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS.
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, HOLD
HARMLESS, AND FOREVER DISCHARGE THE FIELDS (SPORTS COMPLEX), INC., its officers, officials, agents and/or employees, other
participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (RELEASEES), from any and
all claims, demands, losses, liability, rights, or causes of action of whatsoever kind arising out of, or in any way connected to or related to any
ILLNESS, INJURY, DISABILITY, DAMAGES OR DEATH I may suffer or sustain as a result of my participation in programs, events or activities,
WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY
SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A
COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE FULLEST EXTENT PERMITTED BY LAW AND AGREE THAT IF
ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL
FORCE AND EFFECT.
MINOR RELEASE (IF PARTICIPANT IS UNDER THE AGE OF 18)
AND I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF THE ACTIVITY OR ACTIVITIES AND THE
MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER
PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY OR ACTIVITIES. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO
SUE AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ALL LIABILITY CLAIMS,
DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNT CAUSE OR ALLEGED TO BE CAUSE IN WHOLE OR IN PART BY THE
NEGLIGENCE OF ONE OR MORE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATION AND
FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR’S BEHALF MAKES A CLAIM
AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, HOLD HARMLESS EACH OF THE RELEASEES FROM
ANY LITIGATION EXPENSES, ATTORNEYS FEES, LOSS, LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF ANY
SUCH CLAIM. I GIVE THE FIELDS SPORTS COMPLEX AND IT’S DESIGNEES, AGENTS, AND ASSIGNS UNLIMITED PERMISSION TO
USE, PUBLISH, AND REPUBLISH IN ANY FORM OR MEDIA, REPRODUCTIONS OF MY LIKENESS, OR MY CHILDS LIKENESS,
PHOTOGRAPHIC OR OTHERWISE, WITH OR WITHOUT IDENTIFICATION OF ME OR MY CHILD BY NAME.