Mission Statement & Statement of Faith
Staff & Employment
Personal Pastor Retreat
Winter Teen Retreat
Big Pine Lodge Living Room
Camp Office Building
Eagle Mountain Auditorium
Ice Cream Parlor
Maple Lodge Living Rooms
Mt. San Jacinto Chapel
Mt. Tahquitz Chapel
Big Pine Lodge (Deluxe)
Oak Lodge (Deluxe)
Prayer: Adopt-A-Staff 2019
Kids/ Teen Kamp Registration
Indicates required field
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 Kids Kamp, 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.
ith 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
. These activities may include, but are not limited to, swimming, archery,
and strenuous competition games.
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,
reserves the right to use any audio, video, and/or photography of guests or campers participating at
I, on behalf of myself, my children, my assigns and my estate, agree to release and hold harmless
, 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
. This release does not apply to intentional and/or willful acts of misconduct by
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
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.
Health or Behavioral Conditions
Drug Allergies or Other Allergic Reactions
Dietary Needs and/or Restrictions
Medication Taken Regularly
I give permission for myself or my child to attend camp at Kids Kamp. I understand that my personal insurance will provide primary coverage for medical aid and that
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.
records must be provided for all first time campers.
Date of last tetanus shot
If none write none.
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.
our registration is complete when you submit this completed form and pay a $75 deposit.
Please make check payable to ACCSC.
Please mail your check to:
P.O. Box 1736
Idyllwild CA 92549
© Copyright 2015 Camp Maranatha
A Place of Peace Where God Changes Lives