Holy Spirit Filled
MEDICAL/COVID-19/INFECTIOUS DIEASE andMEDIA CONSENT:
MEDICAL:Incase of an emergency, I understand that every effort will be made to contact me(parent or guardian) oran immediate family member. In the event someone cannot be reached,I hereby give permission to the Camp Director, Camp Nurse, and physiciansselected by the camp, to secure proper treatment, and to administer"over-the-counter” (OTC), or prescription medications, to hospitalize, orderinjection, anesthesia, and/or surgery for myself. I understand that my insurance has theprimary responsibility for payment should I need treatment, and that the camp insurance is secondary. Iunderstand that, during the process of camp, all medications, including OTCmedications must be administered by camp personnel, and that medications willbe collected at time of registration. I certify that all the informationprovided on this application is accurate to the best of my knowledge. I have readand understand the camp rules and regulations, and also understand that bysigning this application I am agreeing to abide by those rules. I understandthat failure to do so could result in dismissal from camp. I also agree thatthe Church of God of Prophecy (local, regional, and international offices), andits officers, servants, or staff shall not be held responsible for damages forany accident or sickness involving myself.
COVID-19/INFECTIOUS DIEASE: Camp Big Cedars cannot guarantee that you will not become infected with Covid-19 or any other infectious disease due to participation in camp activities.
Before coming to Camp Big Cedars, please acknowledge that the following statements are true:
I will not attend camp if I or any member of the household has exhibited any of the following symptoms within the last 10 days:
Fever over 100.4 degrees / Extreme Fatigue / Dry cough /Difficulty breathing / New loss of taste or smell
I, as well as all household members have not been diagnosed with Covid-19 in the last 10 days.
NOTE: If you have any questions regarding these conditions, please contact the camp director.
I acknowledge the contagious nature of Covid-19 and voluntarily assume the risk that I may be exposed to. I understand that Camp Big Cedars, its staff and volunteers, the Church of God of Prophecy (local, regional, and international offices) and its officers, volunteers or staff, cannot be held liable for any exposure toCovid-19 or any other infectious disease as a result of activities at Camp Big Cedars or misinformation on this form provided by others.
MEDIA and PARTICIPATION:I hereby give my permission for Camp Big Cedars administration to use images and recordings of myself (including website or social media use) without further compensation. I agree that my I may participate in all camp activities including travel off the property. I also agree to hold harmless Camp Big Cedars, its staff, and volunteers from any and all liabilities, claim, demands, and causes of action whatsoever, which may arise due to the participation of myself in said activities. If you have any questions/concerns, contact your camp directors via phone or email prior to camp. * Camp Big Cedars is not responsible for lost items.
STATEMENT OF UNDERSTANDING AND CONSENT: I understand that this camp is a ministry of the Church of God of Prophecy, and consequently all actions, conduct, and policies will be consistent with the Church’s Statement of Doctrine and Beliefs. I represent that I am the staff applicant named on this application. I acknowledge and agree to the statements above, as well as any applicable terms and conditions for this registration.
I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.