Vaccines and Immunizations
The undersigned person represents that he/she is the custodial parent/legal guardian of the above identified registrant and give my consent for my child/youth registrant to attend and participate fully in Summer Camp 2026 at the Community of the Great Commission. I agree to direct my child to cooperate with directions and instructions with personnel responsible for the activity.
I have read the camp covenant and I understand that if my child violates the covenant, I will be responsible for my child's early transportation home.
I hereby voluntarily and absolutely release and discharge Christian Churches of Northern California and Nevada (hereinafter referred to as CCNC-N) and United Camps, Conferences and Retreats (hereinafter referred to as UCCR), its constituent organizations and their officers, agents, employees, including volunteers, from any and all loss or damages or actions or causes of action for personal injury, property damage, or wrongful death that my child or myself may suffer as a result participation in the above-mentioned activity, including transportation to or from the event, or occurring by the use of facilities or equipment; whether or not such injuries or damages are caused by the negligence (active or passive) of any of the entities or individual named above.
In case of medical emergency, I/We understand that every effort will be made to contact a parent/guardian/emergency contact person of the camper. In the event I/We cannot be reached, I/We give permission to the physician selected by the Camp Director, Camp Medical Care Provider, or other authorized camp staff member to secure proper treatment for, hospitalize and order injection, anesthesia or surgery for my child/myself (if over 18). It is understood that this authorization is given in advance of any specific diagnosis treatment, or hospital care being required but is given to provide authority and power on the part of our aforesaid agent(s) especially in case of emergency, to give specific consent to any such diagnosis, treatment, or hospital care which the aforementioned physician in the exercise of his or her judgement may deem advisable. I agree to pay for any medical, dental, surgical, or hospital diagnosis, treatment, or care rendered to my child/myself (if over 18)
I promise that I (or an emergency contact person) will be available by phone and in person in case of an urgent situation during the week of camp.
I/We authorize the camp director or medical supervisor to dispense non-prescription drugs (i.e. Tylenol; ibuprofen) if the situation warrants to my/our child/youth.
I/We understand and accept that if the camper exhibits Covid-19 symptoms and tests positive as described by the CDC, that The camper will be sent home from camp.
The camper has no physical or mental disabilities that would impair their participation except as noted above. I/We understand that the information provided on this form will be kept confidential and shared only as necessary to provide care for the camper.
The Community of the Great Commission Participant COVID-19 Waiver, Release, Indemnification of all Claims & Covenant Not To Sue
