top of page
Use tab to navigate through the menu items.
Camp Liability Waiver
To complete registration, please take the time to fill out the information below.
Participant First Name
Participant Last name
Parent/Guardian Full Name
Please specify any health concerns and/or other information we should be aware of for particpant
I declare that the info I've provided is accurate and complete
I hereby acknowledge this release from liability for accidental injury or illness which may be incurred as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program with the medical staff prior to participating.
Emergency Contact Name
Emergency Contact Phone
bottom of page