Camp Activity Waivers

Camp Activity Waivers

Activities at Camp Bountiful may include swimming, backpacking, hiking, remote camping distant from the main Camp facility, campfire building, and outdoor cooking all of which may be a portion of the certification process within the Camp program. Special activities such as Archery, Ax or Knife throwing and/or a Ropes Challenge Course may also be included. Please note the above camper's level of participation for each activity. Form to be completed by all overnight camp participants, Youth and Adult.
Participant Name*

First NameLast Name
Ward:*
Water Front/Swimming Activities:
The outdoor program at Camp Bountiful provides for water activities in the form of swimming and/or boating such as the use of a canoe, raft boats, paddle boats, or any other devices like blow up rafts and water trampolines. A portion of the lake at Camp Bountiful is roped off as a designated swim area. Swimming is allowed only when a certified life guard is present and all Church and State
regulations are met.
Swimming Ability:*
Participation Level:*
Please note any restrictions
Backpacking/ Hiking/Remote Camping/Outdoor Cooking:

The outdoor program at Camp Bountiful provides for hiking activities in the form of 1, 2 and 5 mile hikes and may also include a remote camping experience for some levels. We may also cook outdoors at camp fires. These activities are allowed only when adult staff is present and all Church and State
regulations are met.
Participation Level:*
Please note any restrictions
Archery/Ax Throwing/Knife Throwing:
I do hereby authorize the Camp Bountiful, The Church of Jesus Christ of Latter-day Saints, to furnish archery equipment and ax/knife throwing equipment as appropriate, to the minor named herein for the purpose of instruction in the safe handling Archery equipment under the supervision of the Range staff.

This authorization will remain in effect for the said minor while participating in any Camp Bountiful, The Church of Jesus Christ of Latter-day Saints, program or activity related to Archery, unless revoked in writing by the undersigned and said revocation personally delivered to the duly constituted representative of the above noted Camp Bountiful.
I consent to the above statement:*
Please note any restrictions
I, First Name* Last Name* , the undersigned, as parent/legal guardian/18 yr. old camper/or myself hereby give permission for the above mentioned individual to attend the supervised Camp program of the Church of Jesus Christ of Latter-day Saints @ Camp Bountiful.

I further grant, individual herein described, permission to engage in Camp activities described herein, EXCEPT as noted.

I further understand that in the case of illness, accident, or for any unforeseen issues, I am responsible to provide for the pick-up and transport home of said individual as deemed prudent by the Camp Staff.

I further understand that the Camp Bountiful Staff reserves the right to ask herein described individual to be sent home from Camp in the case of disciplinary issues and that

I am responsible to provide for the pick-up and transport home of said individual.

Furthermore, I release all Camp leaders, the Camp Health Care Supervisor, including assisting Camp Health Care Staff, from any consequences that occur due to undisclosed prescription or over the counter medications brought to Camp by said individual.
Name*

NameLast Name
Date

MonthDayYear
Date
Signature*
Should be Empty: