I hereby give my permission for my child(ren) __________________________________________ to participate in the informal Wild Arts Learning Nature Camp (here forward referred to as “Camp”) activities hosted by Camp director Cina Canada.

I understand and consent that participation in this Camp involves activities that expose my child(ren) to certain risks and dangers. Accidents and injuries are always a possibility, and it is impossible to foresee and protect campers from all conceivable dangers, including but not limited to swimming in the river, working with raw materials, encountering wildlife, handling and consuming plants, and working with sharp implements. Even so, I hereby consent to my child(ren) participating in any and all Camp activities, even beyond what is listed.

I understand and consent that if my child(ren) has any conditions that would make it unsafe for him/her/them to participate in this Camp, I should not send my child(ren) to this Camp.

I understand and consent that my child will be riding in a vehicle with Cina and/or another adult camp leader, participating in various outdoor activities, preparing natural, homemade art supplies with raw materials, and eating and drinking snacks and beverages provided by Wild Arts Learning. Additionally, I understand that my child will be foraging and tasting wild edibles on the foraging field-trip and in the wild culinary arts segment of camp. I understand that it is my responsibility to alert Cina to any allergies or food/beverage aversions.

I understand and consent that my child will be engaged in various activities that require time in the water, grass and woods and that I am responsible to send natural, non-toxic bug spray and sunscreen for my child(ren).

I understand and consent that the Camp may exclude my child(ren) from all activities in the event that my child(ren) fails to abide by the Camp policies, is disruptive or impedes or interferes with the operations of Camp, or threatens the health, safety or welfare of other participants or Camp staff, and that no refund of any fees will be made in such circumstances.

MEDICAL CONSENT: I understand and consent that the Camp will make every effort to contact me in the case of an emergency. In the event of an emergency, I give my permission for the Camp to call emergency services and for those services to administer any medications needed and to provide and arrange for and consent to any necessary medical treatment for my child(ren) while at Camp, including onsite and offsite emergency care. I accept responsibility for the costs of all such medical attention and treatment and understand that I am responsible to alert Cina to any medical issues, conditions and allergies.

PHOTO/VIDEO RELEASE: In consideration of my child(ren)’s participation at the Camp, and without any further consideration from the Camp, I hereby grant permission to the Camp, staff and affiliates to utilize my child(ren)’s appearance, performance or voice in any media for the purpose of promotion, reporting or publication for Wild Arts Learning and it’s mother company My Botanical Life. The Camp may use my child(ren)’s likeness, voice and biographical material in connection with publication, promotion, exhibition and distribution of Wild Arts Learning and My Botanical Life material. I understand that no royalty, fee or any other compensation of any kind shall become payable to me by reason of such release and use of any photograph and that if I do not agree to these terms, it is my responsibility to alert Cina and sign a “no participation form” for photos and videos.

I understand and consent that by signing this Waiver and Release of Liability, with full appreciation of the risk involved, on my own behalf and on behalf of my child(ren), I hereby voluntarily release and forever discharge the Camp, its trustees, officers, employees, agents, insurers, property owners where camp activities are held, and contractors from any and all legal or financial responsibility for any personal injury, disability, illness, damage, medical expense or death, arising from or related to my child(ren)’s participation in Camp. I agree, for myself and my child(ren), not to make any type of legal or equitable claim on the Camp, or any of its trustees, officers, employees, agents, insurers, property owners where camp activities are held, or contractors with respect to any injury I or my child(ren) may suffer, whether or not it arises through the negligence, omission, default or other action of anyone affiliated with the Camp, including other campers. I further agree that if any such claim is made, I will indemnify and defend the Camp with respect to any such claim, injury or damage.


Full Name/s of Camper/s and Age/s: ___________________________________________

_____________________________________________________________________________



Signature of Parent/Legal Guardian: ____________________________________________

Date: ____________________________



Printed Parent/Legal Guardian Full Name: _______________________________________


If I have any questions or concerns about this Waiver and Release of Liability form, I will contact Camp Director, Cina Canada directly at 417-860-9949, or cina@wildartslearning.com.