It is our policy to contact the parent or guardian as soon as possible in the event of a serious accident or injury.  If the information has changed on the day of registration please see the camp nurse before camp departure.  Please bring all medication in ORGIANAL CONTAINER along with Medication Administration Release that will be emailed later. You will not be allowed to leave the medication or vitamins on the campers person or in their bag. No exceptions.  All prescriptions must be in that campers name and the correct dosage.  

All fileds are required below.  If nothing applies, please put "NONE" in the box.  Thanks.

If your child is on any medications you will be sent a follow up email containing a Medication Administration Release. Please check for this email within a week of submitting this form. All medications taken in by camper nurse must include this form to ensure correct administration of medication.

By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. I authorize First Baptist Wells to use my camper's picture, testimony, and video in any promotional material(web,print,or media). I or My child may recieve any e-mails or texts from the church or their leaders.  I have read the rules provided by FBCW and agree to them.

Consent For Medical Treatment: I/we herby authorize the nurse at camp to administer all medication that is listed on the following sheet to my child. I understand that only the medication that was brought by my child will be given to them. If an emergency should arise while the above camper is in attendance at Water Edge Encampment I/we authorize camp staff, or group leader to provide care to the camper and/or transport the camper to a medical facility.

I/we further authorize the health care provider or medical facility to administer necessary and/or surgical care upon arrival at the medical facility. I/we understand that camp officials and sponsors will make every effort to locate the parent/guardian or the emergency contact person listed on this document before any action will be taken. If it is not possible to locate the persons listed, I/we will accept the expense of emergency medical and/or surgical treatment.

Assumption of Risk And Release of Liability: I/we understand the camper listed above wishes to participate in all activities offered at Waters Edge Encampment. I/we assume all risks and any other ordinary risk incidental to the nature of the activities. Further I/we will hold harmless from any and all liability all sponsors, Waters Edge Encampment, its components, sponsors, agents, employees, officers, trusties and affiliates of Waters Edge Encampment. I/we fully understand that any physical activity involves risk of injury. I/we also understand that all campers' participation in any activities is entirely VOLUNTARY. I/we enter into this activity and take full responsibility for the decision to participate or not to participate and agree to the follow all the safety instructions.

IMPORTANT

You will be sent another additional waiver VIA email required by the camp. Please be sure to print this and bring it when we leave for camp or email it back to wellsfbc@yahoo.com