CAMP CREW SUMMER DAY CAMP Waiver and Allergen Form

PAYMENT:

TUESDAY-THURSDAY 

$125 FIRST CHILD

$100 SECOND CHILD

$75 THIRD CHILD AND MORE 

 

DAILY RATE:

$45 FIRST

$35 SECOND

$25 THIRD AND MORE

 

IN CONSIDERATION OF the risk of injury that exists while participating in CAMP CREW SUMMER DAY CAMP (hereinafter the "Activity"); and IN CONSIDERATION OF my desire to participate in said Activity and being given the right to participate in same; I HEREBY, for myself, my heirs, executors, administrators, assigns, or personal representatives (hereinafter collectively, "Releasor," "I" or "me", which terms shall also include Releasor's parents or guardian if Releasor is under 18 years of age), knowingly and voluntarily enter into this WAIVER AND RELEASE OF LIABILITY and hereby waive any and all rights, claims or causes of action of any kind arising out of my participation in the Activity; and I HEREBY release and forever discharge CAMP CREW STAFF/CELIO RANCH, located at 2820 S Upper Truckee Rd, South Lake Tahoe, California 96150, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns (collectively "Releasees"), from any physical or psychological injury that I may suffer as a direct result of my participation in the aforementioned Activity.


AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO: PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS' NEGLIGENCE, CONDITIONS RELATED TO TRAVEL TO AND FROM THE ACTIVITY, ORFROM CONDITIONS AT THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN AND UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY. I FURTHER AGREE to indemnify, defend and hold harmless the Releasees against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs.


I HEREBY ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS "WAIVER AND RELEASE" AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND DISCHARGE Camp Crew Staff/Celio Ranch AND ALL OF ITS AFFILIATES, MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST Camp Crew Staff/Celio Ranch FOR PERSONAL INJURY OR PROPERTY DAMAGE.


To the extent that statute or case law does not prohibit releases for ordinary negligence, this release is also for such negligence on the part of Camp Crew Staff/Celio Ranch, its agents, and employees. I agree that this Release shall be governed for all purposes by California law, without regard to any conflict of law principles. This Release supersedes any and all previous oral or written promises or other agreements. In the event that any damage to equipment or facilities occurs as a result of my or my family's or my agent's willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any such actions of neglect or recklessness.


THIS WAIVER AND RELEASE OF LIABILITY SHALL REMAIN IN EFFECT FOR THE DURATION OF MY PARTICIPATION IN THE ACTIVITY, DURING THIS INITIAL AND ALL SUBSEQUENT EVENTS OF PARTICIPATION.


THIS AGREEMENT was entered into at arm's-length, without duress or coercion, and is to be interpreted as an agreement between two parties of equal bargaining strength. Both Participant and Camp Crew Staff/Celio Ranch agree that this agreement is clear and unambiguous as to its terms, and that no other evidence shall be used or admitted to alter or explain the terms of this agreement, but that it will be interpreted based on the language in accordance with the purposes for which it is entered into.


In the event that any provision contained within this Release of Liability shall be deemed to be severable or invalid, or if any term, condition, phrase or portion of this agreement shall be determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall remain in full force and effect. If a court should find that any provision of this agreement to be invalid or unenforceable, but that by limiting said provision it would become valid and enforceable, then said provision shall be deemed to be written, construed and enforced as so limited.


I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT. I CERTIFY THAT I HAVE READ THIS AGREEMENT, THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL. SINCE THE PARTICIPANT IS A MINOR, THIS RELEASE IS HEREBY SIGNED AND DATED BY THE MINOR’S PARENT OR LEGAL GUARDIAN. * **

*All campers must have the following to attend Camp Crew: backpack, water bottle, swim suite, towel, sunscreen (if desired), snacks, LUNCH, and river shoes/sandals that WILL NOT FALL OFF.

**Absolutely NO toys at camp. Camp Crew is not responsible for and will not assume responsibility for any toys that are brought, lost, stolen, or broken at camp.


PARENTAL CONSENT FOR TREATMENT OF MINORS IN CASE OF ILLNESS OR ACCIDENT

Parental permission must be obtained before medical treatment can be rendered to persons under 18 years of age. The following consent form should be signed by parent or guardian so that indicated care might be given with no unnecessary delay. No major procedure will be performed except in extreme emergency, without parents being notified and fully informed. In the event that a parent does not want treatment rendered under any circumstance, they should cross out the work “GIVE” on the form below and insert the word “REFUSE”. Please note that your child may not participate in the camp until we receive the parents’ consent form.

I GIVE PERMISSION TO THE CAMP CREW STAFF TO GIVE SIMPLE FIRST AID CARE TO MY SON/DAUGHTER. THIS INCLUDES, BANDAIDS, AND/OR SOAP/WATER ON MINOR SCRAPES/SCRATCHES. I KNOW THAT ANY CARE GIVEN TO MY SON/DAUGHTER IT WILL BE COMMUNICATED TO THE BEST OF THE CAMP CREW STAFF AND DIRECTOR’S ABILITY. I GIVE PERMISSION TO EMERGENCY MEDICAL STAFF TO CARRY OUT NECESSARY LIFE SAVING CARE FOR MY SON/DAUGHTER IN CASE OF AN EMERGENCY. AND ALSO, SUCH PROCEDURE TO BE CARRIED OUT AT THE LOCAL HOSPITAL IN THE EVENT THAT MY SON/DAUGHTER HAS BEEN SENT OR TAKEN THERE FOR IMMEDIATE EMERGENCY CARE.



Parent's Name

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Camper Info @ Bottom of Form

-If more than one camper, please indicate which allergies belong to which child. -Add additional children at bottom.

Emergency Contact

If an emergency arises and we cannot reach you, who would you like us to call?

WEEKLY/DAILY REGISTRAITON

Check all boxes that apply. *If you check all, your rate will be the weekly rate. *If you check one box (depending on how many children you have) your rate will be the daily rate. WEEKLY RATE: $125 for the first child $100 for the 2nd child $75 for the 3rd and more children. DAILY RATE: $45 first child $35 second child $25 third and more children







Welcome to the Olympics! Campers will hear from special guests who have been in or participated in some of the many Olympic events. Also, they will test their skills and see if they can win the gold in camp related activities/games.







Proud to Be an American! Campers will hear from special guests who have served God, their family, and their country admirably! Campers will also participate in various Americana themed arts and crafts!







Talent show is back! Your camper will have the opportunity to show off their special talents. If they can sing, dance, tap, baton, karate, ANYTHING, they are welcome to showcase themselves on stage! The actual show will be on Thursday the 11 at 3:00-4:00 ALL parents are welcome to come and watch.







Christmas in July is a fun one! Campers will participate in a snowball fight, build snowmen, play fun Christmas themed games, and there's a special small surprise for everyone who signs up!







River Fun is the executive director's favorite week. Under extra supervision campers will "float" down a secure area of the Truckee River. Everyone will get to participate in a camp wide water fight that is fun for all. While enjoying the Tahoe sun it'll be a great time.







This year's safety week will be one to remember. Campers will get to hear from special guests of our Sheriff's dept, Police Dept, as well as possibly the SWAT dept for SLTPD. We have had a great time in the past and our men in blue and tan are always willing to engage with the campers.







Health and Nutrition: Protein! This week a special guest will come and share information about various proteins our body needs to thrive. All campers will have an opportunity to enjoy a small snack provided by Camp CREW that focuses on protein. PLEASE INCLUDE ANY ALLERGIES ON YOUR WAIVER REGARDING PROTEIN TYPE FOODS if your camper cannot participate.







End of Summer Wrap Up and Carnival on Thursday! Our end of summer week is always fun. Extra water time, extra fun games with the counselors, and a carnival to wrap up the summer. This year's carnival is going to be epic. Campers will enjoy slushies, cotton candy, pop corn, games, etc. It will surely be a day to remember.

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.