• Living River Summer Camp 2026 You & Me Registration

    Please register all adults and children who are attending as a part of your "family group" together. There is no way for adults to register themselves unattached from the children they're attending with. Every child and adult attending You & Me Camp will be considered a "camper" for the purposes of the form. That means you too, parent, grandparent, or friend! Email office@livingriver.org with any questions.
    • Child Camper One's Information 
    • Child Camper Personal Information

    • Child Camper One's Medical Information

    • Child Camper One's Family Information

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    • Child Camper One's Emergency Contact Information

      Please choose someone who isn't attending You & Me.
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    • Child Camper One's Healthcare Provider

      Please choose someone who isn't attending You & Me.
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    • Additional Camper?

    • Child Camper No. 5 (Child/Youth) Information 
    • Child Camper No. 5 Camper Personal Information

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    • Child Camper No. 5 Emergency Contact Information

      Please choose someone who isn't attending You & Me.
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    • Child Camper No. 5 Medical Information

      Please answer all questions completely.
    • Adult Camper (Adult) Information 
    • Adult Camper Personal Information

    • Adult Camper Emergency Contact Information

      Please choose someone who isn't attending You & Me.
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    • Adult Camper Medical Information

      Please answer all questions completely.
    • Additional Camper?

    • Adult Camper (Adult) No. 2 Information 
    • Adult Camper No. 2 Personal Information

    • Adult Camper No. 2 Emergency Contact Information

      Please choose someone who isn't attending You & Me.
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    • Adult Camper No. 2 Medical Information

      Please answer all questions completely.
    • Additional Camper?

    • Adult Camper (Adult) No. 3 Information 
    • Adult Camper No. 3 Personal Information

    • Adult Camper No. 3 Emergency Contact Information

      Please choose someone who isn't attending You & Me.
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    • Adult Camper No. 3 Medical Information

      Please answer all questions completely.
    • Additional Camper?

    • Adult Camper (Adult) No. 4 Information 
    • Adult Camper No. 4 Personal Information

    • Adult Camper No. 4 Emergency Contact Information

      Please choose someone who isn't attending You & Me.
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    • Adult Camper No. 4 Medical Information

      Please answer all questions completely.
  • Child Camper Two's Personal Information

  • Child Camper Two's Medical Information

    Please answer all questions completely.
  • Camper Two's Family Information

    • Copy of Camper One's Family Information 
    • Camper Two's Family Information 
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    • Child Camper Two's Emergency Contact Information

      Please choose someone who isn't attending You & Me.
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    • Child Camper Two's Healthcare Provider

  • Child Camper No. 3 Personal Information

  • Child Camper No. 3 Medical Information

    Please answer all questions completely.
  • Child Camper Three's Family Information

    • Copy of Camper One's Family Information 
    • Camper Three's Family Information 
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    • Child Camper Three's Emergency Contact Information

      Please choose someone who isn't attending You & Me.
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    • Child Camper Three's Healthcare Provider

  • Child Camper Four's Personal Information

  • Child Camper Four's Family Information

  • Child Camper Four's Medical Information

    Please answer all questions completely.
    • Child Camper Four's Family Information 
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    • Child Camper Four's Emergency Contact Information

      Please choose someone who isn't attending You & Me.
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  • Insurance Information

    If your "family group" has more than one insurance, there's an opportunity to upload a second insurance below. If there is an additional insurance beyond these two or you have any questions, please email office@livingriver.org.
  • Upload a picture of your "family group"'s insurance card below:

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  • If any camper in your group is on a different insurance, upload a picture of the second below:

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  • Camper Consent Agreements

    The consent forms below apply to all who are registered on this form. Living River's Medical and Liability Releases are required for participation and for submitting this form. If you have any questions, please email office@livingriver.org.
  • Living River: A Retreat on the Cahaba, Inc. Participant Photo and Media Release

    I understand that photos of my child or me may be used by Living River for publicity purposes in print or on social media. Names will not be printed. If I do not wish photographs of my child to be used in this capacity I will notify staff, in writing, before the beginning of the camp session. 

  • Living River: A Retreat on the Cahaba, Inc. Participant Medical Release

    I, the undersigned, give authorization for Living River's liscenced healthcare providers and staff to address the medical needs of my child according to their training and Living River's policies. I, the undersigned, understand that I will be notified in case of medical or surgical emergency involving my child. However, in the event that I or persons I have designated cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill. I understand Living River will not be responsible for medical expenses incurred, but that such expenses will be my responsibility as parent/guardian. I will notify the camp director of any problems or restrictions which would affect participation in normal camp activities prior to the camp period. I also understand that the adult supervisors reserve the right to restrict my child from any activity that they do not feel is within the physical capabilities of my child. I agree to abide by the decisions of the director(s) in the case of sending the camper home due to illness or fails to abide by the camp rules.

  • Living River: A Retreat on the Cahaba, Inc. Participant Release of Liability and Assumption of Risk Agreement

    In consideration of being allowed to participate in any way in the program, related events and activities, I the undersigned, acknowledge, appreciate, and agree that: 

    1. The risk of injury from activities involved in this program is significant, including the potential for permanent paralysis and death. 

    2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation. 

    3. I willingly agree to comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately. 

    4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS LIVING RIVER: A RETREAT ON THE CAHABA INC., its officers, officials, agents and/or employees, other participants, volunteers, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (RELEASEES), from any and all claims, demands, losses, and liability arising out of or related to any ILLNESS, INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by law. 

    5. I will abide by all local, state, and federal guidelines or laws.

    For Parents/Guardians of Participants(s) of Minor Age (under age 18)- I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law. 

  • Your electronic signature below affirms the validity of the information on this form and is equally as binding as an original, manual signature. Your signature applies the above consent releases to every camper you have registered.

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  • Payment

  • You may choose to:

    • Pay now (either the full amount or the amount minus the Presbytery of Sheppards and Lapsley scholarship you expect to receive)
    • Be billed your total by Living River after Summer Camp is over.
    • Or, if you have made arrangements for your church to cover the cost of Summer Camp, you can select that option below, too.

    If choosing to pay the full or a partial amount now, you'll be taken to another browser window to pay after you submit this form.

    Scholarships- The Presbytery of Sheppards and Lapsley offers $75 scholarships for any You & Me camper, child or adult. There is a limited number of scholarships, and you must complete the Presbytery of Sheppards & Lapsley application to be considered for their scholarship. If you plan to apply for a camp scholarship and would like to pay what would be your remaining total after receiving the scholarship now, please choose the correct option below when checking out with PayPal. If the Presbytery does not receive your application or they run out of scholarship and you choose to pay the reduced registration fee now, you will be billed the remaining total. To complete the scholarship application go to http://pslpcusa.org/summer-camp/ and click the "Apply for Scholarship" button.

    Additioinal Assistance- If you need additional financial assistance beyond the Presbytery scholarship, please email office@livingriver.org.

    Bring a Friend Discount- If you are inviting new friends to Living River this Summer for the "Bring a Friend Discount" and you choose to pay now, your earned discount will be added to your next year's total (instead of receiving a refunded amount for this year's total). Or, you can choose to be billed by Living River after Summer Camp, so that your total reflects your discount. New friends need to both complete registration and participate in camp.

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