(completed as of May 2019)
In case of medical emergency, I understand that every effort will be made to contact parents/guardians of campers. In the event that I cannot be reached I hereby give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child, as named herein. Parents or guardians are responsible for the insurance coverage while their child is attending camp. Any outside charges incurred relating to sickness or illness by your camper will be billed to parents or guardian.
I consent to have my child participate in the activities of Crystal Springs Baptist Camp, and certify that I will hold Crystal Springs Baptist Camp, its directors, employees or agents harmless from any and all liability and claims arising out of participation in or in the connection with the program of Crystal Springs Baptist Camp. I hereby certify that the above information is correct. I also give permission for the use of photographs or video including my son or daughter to be used in camp publicity.
I grant permission for the camp administrator to take an inventory of my child’s belongings in the presence of my child and two adult staff members if there is reason to believe that the belongings pose an immediate risk to the health or safety of other campers or staff.
We strive to accommodate campers with food allergies to the best of our abilities, but our kitchen facility regularly processes foods that pose a potential risk of cross contamination (gluten, dairy, nuts, etc). If you are sending a camper with food allergies of any kind, please notate this on your registration. If the camper has severe allergies to one or more food items, you may consider bringing personal food for the week to ensure no cross contamination will occur.
Parent, Please check this box and initial to indicated that you have read, understand, and agree to the previous statement regarding food allergies, medical emergencies, insurance, publicity, and activity participation.
1) Release of Responsibility: In consideration of the opportunity to participate in the activities, I will not hold Crystal Springs Baptist Camp, its directors, employees, or agents responsible or legally liable for any injuries to the person or property or the results thereof, incurred and suffered as a result of my participation in any of the activities or programs at Crystal Springs Baptist Camp.
2) Willingness to Follow Instructions and Rules: I understand that Crystal Springs Baptist Camp will provide the necessary safety equipment and personnel trained to supervise participation in these activities. I agree to use the equipment as directed and to observe and follow all rules and guidelines for participation in these programs as directed by Crystal Springs Baptist Camp staff. I further agree that any failure to do so on my part may prevent my participation in these activities. I hereby certify that the above information is correct.
T-shirt Size (Fall Retreat only):