2024 Summer Camp Program

Parent/Guardian Contact Information

Parent/Guardian Contact Information (2)

Emergency Information

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Lakes Area LifeWay (The Sunshine Project) during the selected camp weeks. In exchange for the acceptance of said child’s candidacy by Lakes Area LifeWay (The Sunshine Project)., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Lakes Area LifeWay (The Sunshine Project) 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 Lakes Area LifeWay (The Sunshine Project). 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.

Liability Waiver & Release

I hereby give my consent for my child to attend Lakes Area LifeWay's The Sunshine Project: 2023 Saturday Day Camp sessions, located at Calvary Community Church located in Lake Geneva, WI. In consideration of registration for the camper I hereby release and waive any claim or cause of action which may occur against Lakes Area LifeWay and employees or any other person acting with permission arising out of any injury to his/her person or property during his/her stay at the session, in transit to and from said session, or during any activity approved by and of said persons for injury as herein stated.

The information on this form is accurate and complete to the best of my knowledge. The person herein described has permission to engage in all camp activities except as noted. I hereby give permission to Lakes Area LifeWay (The Sunshine Project) to provide routine health care under the guidance of the camp’s medical director, administer prescribed medications, and seek emergency medical treatment including ordering x-rays or routine tests. I agree to the release of any records necessary for treatment, referral, billing, or insurance purposes.

I give permission to Lakes Area LifeWay to arrange necessary program and emergency transportation for the person named above. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp to secure and administer treatment, including hospitalization, for the person named above. I have read the foregoing release and authorization before affixing my signature below, and warrant that I fully understand the contents thereof.

Financial Release

You are ultimately responsible for all payment obligations arising from your camping experience and guarantee payment for these services. You are responsible for fees indicated by your funding source and/or our FINANCIAL POLICIES, which are not otherwise paid by supplemental funding. By signing this guarantee as the Financially Responsible Party, you hereby guarantee the full and prompt payment to Lakes Area LifeWay (The Sunshine Project), of all fees for the Camper, whether currently existing or for registration and session fees incurred in the future. You also agree to pay all expenses, legal or otherwise, incurred by Lakes Area LifeWay (The Sunshine Project), in collecting the indebtedness. I warrant that I fully understand the contents thereof.

Media Release

I hereby give my consent for the camper referenced above to be in narratives, film, photographs, videotape or sound recordings made by Lakes Area LifeWay (The Sunshine Project) that may be used by Lakes Area LifeWay (The Sunshine Project), and those acting with its permission, for the purpose of illustrations or broadcast in connectionwith the work of Lakes Area LifeWay (The Sunshine Project).

I understand that use of the aforementioned media may include publication on Lakes Area LifeWay's website, www.lakesarealifeway.org. To ensure my child’s or my privacy, Lakes Area LifeWay (The Sunshine Project) will use only camper’s first name and the location of the Lakes Area LifeWay (The Sunshine Project) organization where services were received. I authorize photos taken by campers and staff for personal use (which may include posting on social media sites such as Facebook, Instagram, etc. under their personal accounts).

I have read the foregoing release and authorization before affixing my signature below, and warrant that I fully understand the contents thereof.

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.