Mega Sports Camp - July 1-31, 2019

Please fill out this form and click submit.
General Information

 
 
Please select one option.
 
Please select one option.
 
 
 
 
 
 
 
 
 
Please select one option.
Allergies/Medical Conditions

If your child does not suffer from any form of allergies type in NONE.
 
 
 
 
 
 
 
Please List Below the Names of Persons to Whom We May Release Your Child To:

Please list three people that can pick up your child in case you are unable to do so.  In case of an emergency all three people will be contacted in the order given below.
 
 
 
 
 
 
Permission to go Home Alone

By checking YES, you give Church of the Revelation permission to release your child at the end of Mega Sports Camp each day for the entirety of the Camp. The camp dates are July 1st - July 31st.  At the begining of each day, your child will be given a wrist band indicating that they are alllowed to be released.
Please select all that apply.
Waiver Release

I, the undersigned, parent/guardian, do hearby grant permission for my son/daugther, named above, to attend the camp/clinic.  In order that my child may receive the proper medical treatment in the event that he/she may sustain injury or illness during Mega Sports Camp, I hereby authorize the camp staff to obtain or provide medical treatment for my child for such injury or illness during the camp, and I hereby hold the camp staff and sponsoring organization(s), as well as its representatives, harmless in the exercise of this authority. 

I further understand that there is always a possiblilty that my child may sustain physical illness or injury while at the camp.  If this occurs, I hereby authorize the camp staff and representatives to refer my child to a medical treatment center (hospital, etc.) I further acknowledge and understand that I will be responsible for any medical bills that may be incurred on behalf of my son/daugther for physical illness or injury that he/she may sustain during the camp. 

Understanding that there is always a possibility that my child may sustain physical illness or injury, I acknowledge and understand that my child is assuming the risk of such physical illness or injury by his/her participation, and I further release the sponsoring organization and its representatives from any claims for personal illness or injury that my child may sustain during camp.  I further acknowledge and understand that my child will be responsible for his/her failure to abide by the rules and regulations of the camp.  We acknowledge that this event will have a spiritual emphasis.
 
 
 
 
 
 
 

Description

Please fill out this form and click submit.