RICH Summer Camp Registration

Camper Information

Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by Rivers Int'l Church during the selected camp. In exchange for the acceptance of said child’s candidacy by Rivers Int'l Church. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Rivers Int'l Church and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against Rivers Int'l Church including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization As Parent and/or Guardian of the named camper, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named camper. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the Rivers Int'l Church. and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. I further acknowledge that Rivers Int'l Church has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.I further acknowledge that Rivers Int'l Church can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, salon staff, and other salon clients and their families.I voluntarily seek services provided by Rivers Int'l Church and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment. I attest that:* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.* I have not traveled internationally within the last 14 days.* I have not traveled to a highly impacted area within the United States of America in the last 14 days.* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. * I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.I hereby release and agree to hold Rivers Int'l Church harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from Rivers Int'l Church. I understand that this release discharges Rivers Int'l Church from any liability or claim that I, my heirs, or any personal representatives may have against the salon with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Rivers Int'l Church. This liability waiver and release extends to the church together with all owners, partners, and employees.

Camp participants are expected to exhibit appropriate behavior at all times while at camp. In order to provide all campers and staff with a camp experience that is safe and enjoyable, the following guidelines have been developed. A caring and positive approach will be taken regarding discipline. Camp staff will reinforce appropriate behavior through positive reinforcement, firm statements and redirection of activity. All campers must understand and follow the guidelines set forth. Please review these guidelines with your child.

 · Talk in a pleasant manner. Foul language, putdowns and bullying will not be accepted.

 · Be safe! Always obey camp, bus rules, and staff.

 · Treat all equipment and supplies with proper care and respect.

 · Show respect for the RICH (Rivers Int’l Church) staff, bus drivers and fellow campers.

· Running and excessive shouting while indoors is not allowed.

· Aggressive behavior that is threatening to the child, staff or others will not be permitted at camp.

· Have a positive attitude and have fun!

Listed below are the discipline procedures for campers who are exhibiting unacceptable behavior. Depending on the severity of the behavior, we may skip a particular step. (I.e. aggressive behavior will not be tolerated.)

Step 1: - Verbal Warning

Step 2: - Time Out or time away from the group. During a time out a camper may have to sit out from activities including games, crafts, or a special event. Parents will be notified of their child’s time out.

Step 3: - Written Warning given to Parent if a child persists in unacceptable behavior, a written warning will be issued. The RICH Coordinator or Lead Counselor will speak with the child and their parent/guardian. The parent/guardian will be required to sign the written warning and will be required to pick your child up from camp.

***After receiving two written warnings the child will be dropped from Summer Day Camp and will not be permitted to sign up for Summer Day Camp in the future. No refunds will be given. Please review these rules with your child prior to the first day of camp and return to your counselor. The staff will review these rules with your child at the beginning of each week as well. Thank you in advance for your cooperation. We hope to have a great summer! I have read and discussed the Day Camp Guidelines and Discipline Policy with my camper.

 

 

Dear Parent/Guardian, We, at Rivers Int'l Church, would be from time to time taking photos of students during their activities within the premises. In this regard, we seek your consent for the publishing or use of photos which your child may be included. The photos will be used for bulletin boards, marketing or advertising, and/or marketing updates posted via the facebook page, website, and/or within the walls of the church premises. Should you decided to take back your authorization later on, you may do so by writing to us. For protection of privacy of the child, we guarantee that names will not be included.