2019 Day Camp Registration - Woodburn Week - Card Payment

June 17-21, 2019 | Please complete one form for each camper. Deposit Payment must be made in order to process registration. Registration is first come first served. Final payment due June 9th.
 
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Emergency Contact Camp Week

 
 
 
 
 
 
 
Camper Info

 
 
 
 
 
 
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Buddy Request - For the most part kids are divided into groups by gender and grade level. You may request one buddy. No guarantees.
 
Canyonview General Release & Hold Harmless Agreement


I acknowledge that participation in the activities listed below involves inherent risk to the Participant (and to Participant’s parents or guardians, if Participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, bodily injury, death, emotional injury, personal injury, property damage and financial damage. In consideration for the opportunity to participate in the activities listed below (the “Activities”), the Participant (or parent/guardian if Participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the Activities. The Participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the Activities or during transportation to and from the activities, as well as for any medical treatment rendered to the Participant that is authorized by Canyonview Camp or its agents, employees, volunteers, or any other representatives (collectively referred to hereinafter as the “Activity Sponsor”). Further, the Participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless the Activities Sponsor for any injury arising directly or indirectly out of the listed Activities or transportation to and from the Activities.

Canyonview Camp activities include, but are not limited to: archery, outdoor cooking, swimming, waterfront activities, creek walking, games, candle making, low-ropes course, zip line (5th-6th grade), and pony rides.



I give my permission for my child to take the over-the-counter medications listed below as needed while attending Canyonview Camp: acetaminophen, ibuprofen, antihistamine, throat lozenges, anti-nausea, anti-diarrhea, antibiotic ointment, anti-itch cream, ipecac, aloe, eyewash, and sunscreen.

I
n case of a medical emergency for my child, I understand that every effort will be made to contact me. However, if I cannot be reached, I hereby authorize Canyonview staff to act in their best judgment to seek medical attention through appropriate means, including ambulance transport and emergency room treatment as deemed appropriate by attending health care personnel. I also accept responsibility for expenses incurred through such treatments.

I authorize use of photos, videos, name, comments, etc. for promotional purposes.  (If you do not want your participant's image, name, comments, etc. used by Canyonview Ministries for promotional purposes, please submit a written request including a photo for recognition purposes.)

 
Payment

The total cost of camp will be $145 per child.

We have several fundraisers planned to help offset this cost for your family but are unsure yet how much will be raised.  Partial scholarships will be available based on fundraising participation.

Please pay the $45 deposit at this time and we will be in touch with the final amount due.

Payment in full will be due Sunday, June 9, 2019.
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Description

June 17-21, 2019
Please complete one form for each camper. Deposit Payment must be made in order to process registration. Registration is first come first served. Final payment due June 9th.