By indicating that you agree below, I/we (Parent/Guardian of Participant and Participant) agree to the following terms and conditions of participating in DIODE Leadership Camp (“Camp”):
AVAILABILITY & WITHDRAWAL POLICY
I/we certify the Participant’s availability for the duration of the Camp. If for any reason the Participant must withdraw from the Camp, I/we must inform Leaderonomics Sdn. Bhd. (“Leaderonomics”) of such withdrawal at least 14 days before the beginning of Camp. In such a scenario, the participant can send a replacement camper within the appropriate age group for the camp with written notice to Leaderonomics through email. If not, any payment already made to Leaderonomics will be converted into credit for future DIODE Leadership Camp registrations valid 1 year from the camp originally registered for, failing which the full camp fee will be forfeited.
If I/we fail to inform Leaderonomics Sdn. Bhd. by this date, I/we agree to pay a penalty fee of RM200.00. In the case that any payment has already been made, the penalty fee will be subtracted from this payment, and the remainder will be converted into credit for future DIODE Leadership Camp registrations valid 1 year from the camp originally registered for, failing which the full camp fee will be forfeited.
MEDICAL CONDITION & AUTHORISATION
I certify that the named Participant is physically able to participate in the Camp and that I know of no restrictions, physical impairments, or any other facts, which in any manner limit his/her participation in such a camp. I also understand that Leaderonomics will administer no physical examinations and will rely solely upon the information shown on this form.
I give permission for the Participant to receive emergency medical or surgical treatment and hospitalisation if necessary. I hereby authorise Leaderonomics staff, Camp coordinators and Camp facilitators to act on my behalf according to their best judgment in any emergency requiring medical or surgical treatment, and hospitalisation if necessary.
ASSUMPTION OF RISK OF CAMP ACTIVITIES
I understand the risk of injury to the Participant from the camp activities, even if Leaderonomics staff, Camp coordinators and Camp facilitators take every practical precaution to ensure the safety of participants. The term “Camp Activities” includes but is not limited to: (i) Travel to and from the Camp, and(ii) Activities during the Camp.
I/we knowingly and freely assume all such risks, and I/we assume full responsibility for participation in the Camp by the Participant.
FINANCIAL RESPONSIBILITY & INSURANCE
In the event that the Participant requires medical attention due to injuries or sickness during the Camp, I will be financially responsible for any medical expenses incurred. I also understand and agree that Leaderonomics shall not assume, nor be responsible, nor liable for:(i) Medical expenses other than that which is covered by the The Pacific Insurance Berhad short term PA purchased for each participant, and(ii) Compensations for any injury that the Participant may suffer during Camp Activities.
I am aware that Leaderonomics has arranged for The Pacific Insurance Berhad short term PA insurance for each participant with the following coverage:(i) Accidental death and permanent disablement : up to RM 20,000.00(ii) Outpatient medical reimbursement : up to RM 1,000.00
COMPLIANCE WITH CAMP RULES
The Participant understands and agrees to comply with all Camp rules, policies, and stated and customary terms, conditions or requirements for participation, including any rules or conditions of any accommodation or transportation service provider which the Participant uses during the Camp.
I agree that if you observe any unusual or significant concern in Participant’s readiness for participation in the Camp or Participant’s failure or unwillingness to comply with the Camp rules, Leaderonomics staff and Camp coordinators may, at their sole discretion, remove participant from participation.
Also, I hereby release and forever discharge Leaderonomics from any and all claims, actions, damages, or liabilities (including legal fees and costs), arising from or related to any acts, actions, failures to act by Participant or Participant's disregard or failure to follow Camp rules.
I understand and agree for Leaderonomics to hold the right to use, for publicity and advertising, photographs and videos of participants taken at the Camp.
Parent's/Guardian's Understanding of Terms
For any other inquiries, email to us at firstname.lastname@example.org or call us at 03-7957 5809.
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