CAMPING - Consent for medical treatment
  • EFC Campout

    EFC Campout

    Consent for Medical Treatment & Waiver of Liability (One form per family)
  • We (listed above) will be going with The Evangelical Free Church of Eaton, from Eaton, CO to Forest Road 740 Route National Forest South of Gould, CO from July 23-26, 2026.

    In consideration of our participation in this trip, I/we hereby release and discharge The Evangelical Free Church of Eaton, 1325 3rd St, Eaton, Co 80615, its agents, drivers, sponsors, employees, members and officers, from all actions, claims, demands, judgments, and executions which the undersigned ever had, or now have or may have, or which the undersigned's heirs, executors, administrators, or signs may have or claim to have, against The Evangelical Free Church of Eaton, its successors, or signs, for all personal injuries, known or unknown, and injuries to property, real or personal, caused by, or arising out of, the above described activity.

    I/we hereby accept responsibility to properly care for and maintain the ATVs, guns, and other equipment my family or I/we may use or borrow while on this trip. In addition, I/we promise to compensate the owners of said equipment for any damage that may occur while in my/our possession.

    In case of emergency, I/we hereby give permission to the physician selected by Craig Kirkpatrick, Jeff Urwiller, or any staff member assigned by them, to hospitalize, secure proper treatment for, and order injection, anesthesia or surgery for me/my family during the above referred to period of time. I/we do hereby waive all rights of prosecution against The Evangelical Free Church of Eaton and staff should an accident in which I/we am/are involved, occur.

    I/we, the undersigned, have read this release and understand all of its terms. I/we have had any questions relating to this release of liability and claims explained to my/our satisfaction. I/we execute it voluntarily and with full knowledge of its significance and believe the same to be in my/our best interest.

    *PLEASE PROVIDE OR EMAIL A COPY OF YOUR MEDICAL INSURANCE CARD TO: Katie@efcofeaton.org or text a photo to Katie at 970-584-9696

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