Dear Camp Families,
In an effort to minimize illness at camp we ask that you check on the health of your group 14 days prior to camp. The best camp sessions start with healthy campers, and this begins at home.

 

Please indicate if you have any of following symptoms prior to camp. If any temperature or
symptoms are present, please seek evaluation by a licensed provider and contact camp for further guidance.

Symptoms (symp):
• Cough
• Shortness of breath ordifficulty breathing
• Fever*
• Chills
• Muscle Pain
• Sore throat
• New loss of taste or smell
• Nausea
• Vomitting
• Diarrhea
* A temperature above 100.4° F is considered a fever

Please indicate true or false to each statement below. If the statement is false, please explain below.

My signature indicates that we completed this health screening daily for 14 days prior to camp and to the best of our ability. We understand that arriving to camp healthy is vital to a healthy camp for all campers.

Miracle Camp and Retreat Center
REQUIRED COVID 19 SUPPLEMENTAL RELEASE

The novel coronavirus, COVID-19,  has been declared a worldwide pandemic by the World Health
Organization. COVID-19 is extremely contagious and is believed to spread primarily through person-toperson contact. As a result, social distancing is recommended as a preventative measure. It’s possible thatthe current strain of COVID-19 may change or mutate over time, the scope of which is unpredictable.

Although Miracle Camp and Retreat Center (MCRC) is undertaking certain precautions designed to reduce the spread of COVID-19, MCRC cannot guarantee that you, your child, your family, your group members or other visitors will not become infected with COVID-19 while on the camp’s property, while being transported in connection with camp, or while engaged in any camp-related activity.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and I voluntarily assume the risk that I or my child, family member or group may be exposed to or infected by COVID-19, while at MCRC, while being transported in connection with camp, or while participating in camp-related activity. I further acknowledge that such exposure or contraction of COVID-19 may result in personal injury, illness, permanent disability and/or death, as well as medical expense and other costs associated with contraction
of the disease.

I understand that the risk of becoming exposed to or infected by COVID-19 at MCRC may result from the acts, errors, omissions, or negligence of myself and others, including, but not limited to, MCRC employees, volunteers and other campers. I voluntarily agree to assume all the foregoing risks and accept sole responsibility for any injury, illness or death to myself, my child, my family member, or member of my group.

On behalf of myself, my child, my family member, and any member of my group for whom I am responsible, I hereby release, covenant not to sue, discharge, and hold harmless MCRC, its employees, leaders, owners (Fellowship of Evangelical Churches), agents, and representatives, of and from any claim of any kind, including all liabilities, claims, actions, damages, costs or expense of any kind arising out of or relating to the contraction by any person of COVID-19, or any mutation or variation thereof.