Teen Camp Registration

    Parent or Guardian info

     ​                                  Participation, Release, and Medical Agreement

    While we make every effort to provide a safe and pleasant environment for every camper who attends Teen Camp, we do require that this participation agreement be read, filled out, signed, and dated by all campers parent/guardian who wish to participate in activities.

         With full knowledge, I accept full responsibility for any injury or accident that may occur to myself, my spouse, or my child while participating in Kids Kamp activities. I give permission for my child to participate in activities that occur at Teen Camp. These activities may include, but are not limited to, swimming, archery, and strenuous competition games.
         Although Teen Camp  has taken reasonable steps to provide equipment and skilled employees so yourself, your spouse, or your child can participate in activities for which he/she may not be skilled in, we do remind you that these activities are not without risk. Certain risks cannot be eliminated due to our camp’s rural setting and without destroying the unique character of those activities. The same elements that contribute to the character of these activities can be cause of loss or damage to your property, accidental injury or illness or, in extreme cases, permanent trauma or death. We do not want to frighten you or reduce your enthusiasm for these activities, but we do think it is important for you to be informed and know in advance about inherent risks.
    For promotional or marketing purposes, Teen Camp reserves the right to use any audio, video, and/or photography of guests or campers participating at Teen Camp facilities.
    I, on behalf of myself, my children, my assigns and my estate, agree to release and hold harmless Teen Camp, its officers, board, agents or employees, for any and all claims for injuries, causes of action, or liability related to my child’s participation in any activity occurring at Teen Camp. This release does not apply to intentional and/or willful acts of misconduct by Teen Camp or any of its officers, board, agents or employees.

    By checking below, I acknowledge that if anyone is hurt or property damaged during my or my child’s participation in these activities, I and/or my child may be found by a court of law to have waived any right to maintain a lawsuit against Teen Camp on the basis of any claim which has been released herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and agree to be bound to its terms.

    ​Medical Information

    • I give permission for myself or my child to attend camp at Teen Camp. I understand that my personal insurance will provide primary coverage for medical aid and that Teen Camp will provide excess coverage. I also understand that if myself or my child must be sent home because of disciplinary or other problems, I will assume the additional transportation cost. IN CASE OF MEDICAL EMERGENCY, I hereby give permission to the physician selected by the camp director or his agent to hospitalize, secure proper treatment for, and order injection, x-ray, anesthesia, or surgery for myself or my child as named previously. 

    Acknowledgement

    ​By checking below, I am acknowledging that I agree with the above Participation, Release, and Medical Agreement and Medical Information. My acknowledgment is equally as binding as signing a paper copy of the agreement.

    Payment

    ​Your registration is complete when you submit this completed form and pay a $50 deposit.

    Please make check payable to ACCSC.

    Please mail your check to:

    Connie Whitney
    3702 29th Street
    San Diego CA 92104