(Parent Name is Student is under 18 years oldā€‹)ā€‹​

 I acknowledge that I freely chose to attend the Maclay School Camp listed above. I understand that Maclay School has taken all reasonable precautions to protect parents, students, administrators, staff, and employees from exposure to COVID-19 during this Summer Camp. Those measures include, but are not limited to, appropriate screening of attendees and staff and enforcement of proper requirements for social distancing and sanitization. I agree that by attending this Summer Camp, I will fully comply with all such measures or face ejection from the School Activity. I further acknowledge that my attendance may expose me to the risk of exposure to COVID-19 in spite of the above measures and I assume any such risk that may arise therefrom. I accept full responsibility for all medical expenses for any injuries or exposure I might receive by reason of my attendance.  

By signing this form, I also hereby release Maclay School, its Board, its Board members, administrators, directors, officers, teachers, employees, agents, assigns, and volunteers (“released parties”) from and against any and all claims, demands, actions, complaints, suits or other forms of liability that any of them may sustain arising out of (a) my attendance at this Summer Camp, (b) a failure to comply with the measures imposed by the School, (c) a failure to comply with local, state, and federal laws and policies, procedures, and the Maclay School Code of Conduct; or (d) arising out of any damage or injury caused by myself or my child.. I also agree to indemnify and hold harmless the released parties from the released claims, including any and all related costs, attorney fees, liabilities, settlements, and/or judgments.  


I confirm that I have carefully read this Acknowledgement and Release, fully understand the above conditions, and agree to its terms knowingly and voluntarily. I also confirm that I am the parent or legal guardian of the child or I am a student 18 years or older.  

(If 18 years or older)​
(If student is less than 18 years)​