Surrey Membership

I hereby exonerate and hold harmless Surrey its officers, directors. employees and volunteers from any and all illness and injuries (including death) which may occur as a result of, or during, any such activities, trips and/or services in which I participate. I intend to be legally bound hereby.

I authorize the leader in charge of the activity, trip and/or service to obtain a physician or hospital care in any emergency, illness or accident. At that time, the Emergency Contact will be notified.