Camper name: 	Parent/Guardian: 	_ 
Camper Name …………………………………………………………………….
Address: 		_ 
Telephone Number (…..…) …………………………… 
In Consideration, of the campers being permitted to participate in the camp operated by Surprise Lake Society (herein SLS) 
	I, …………………………………	(Name of parent/Guardian), for myself; the 
	Camper ………………………….. 	(Camper's Name); my spouse; the campers heirs; personal representatives; and assigns hereby release, discharge and agree to hold harmless and indemnify SLS; it's officers; directors; managers; counselors; and all other personnel of any form of liability; loss; claims; demands and any possible cause of action that may accrue from any loss, damage or injury to ………………………………. (Camper's Name) or their property in any way resulting from or arising in connection with or related to the Camper's participation at the camp. 
It is fully understood that this means that the camp cannot be sued if any personal 
injury is suffered during the camp or if any property is damaged, lost, or stolen whiIe 
the camper is at the Camp. 
Furthermore, I, on behalf of the Camper, as well as for myself hereby undertake to 
indemnify the camp against any and all liability, loss or damage from which the camp may be found liable as a result of claims, demands, or judgments against the camp arising from any act or failure to act on the part of the camper, during the course of the camp, for which act or failure to act either I or the camper may be found liable at law. 
It is fully understood that this means that it the Camper causes injury to another 
person or damages another person's property while at the camp, and the camp has to pay 
an amount to that person, the camp can recover the mount paid from me. 
I HEREBY DECLARE THAT I HAVE READ THIS RELEASE OF LIABILITY AND 
INDEMNITY AGREEMENT AND ACCEPT THE SAME IN FULL ON BEHALF OF 
MYSELF; MY SPOUSE; THE CAMPER; THE CAMPER'S HEIRS; PERSONAL 
REPRESENTATIVES AND ASSIGNS 
Signed at SURPRISE LAKE CAMP, In the Province of Alberta

________ , on the __ day of 	, 20 ……. 
	Parent /Guardian ……………………………………..
         Witness …………………………………………………