Camper Registration Form

Medical Information
Medical Insurance Co. & Policy Number*
Primary Physician*
Physician Phone Number*
Please enter a valid phone number.
Physician Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list any medical or mental health history, including any that require medications or special accommodations(i.e. Diabetic, Asthma, Seizures, Anxiety, ADHD, ASD). *
This really helps us care for your child while they are at camp.
Medications (including vitamins or supplements) currently taking and dosages:*
Anything you are sending with them should be listed here.
ALL PRESCRIPTIONS AND OVER THE COUNTER MEDICINE/ VITAMINS/ SUPPLEMENTS MUST BETURNED INTO THE CAMP NURSE (PATCHES) AT CHECK IN TIME!*
Parent/Guardian Initials
Allergies:*
Please let us know if you have an anaphylactic reaction to any known substance
Does your child have any concerns about being away overnight? (Anxiety, bedwetting, sleepwalking, etc.) *
Is there anything else we should know about your child to help make camp a better experience forthem?*
In case of a medical emergency for my child, I understand that every effort will be made to contact me. I hereby authorize Faith Filled Adventures Camp staff to act in their best judgement to seek medical attention through appropriate means, including ambulance transport and emergency room treatment (including but not limited to, injections, anesthesia, or surgery) as deemed necessary by attending health care personnel (i.e. EMT, First Responder, and/or Physician). I accept responsibility for expenses incurred for such treatments. *
Parent/Guardian Initials
In the event that your child becomes ill and is unable to continue participating at Faith Filled Adventures Camp, I agree to come pick up my child within 4 hours of notification from staff. Should the child’s health further deteriorate, and our medical staff deems immediate medical attention necessary, we will act upon that. *
Parent/Guardian Initials
I give permission for medical staff to administer over the counter medications listed below to my child as needed while attending Faith Filled Adventures Camp: acetaminophen, ibuprofen, antihistamine, throat lozenges, anti-nausea, antidiarrheal, antibiotic ointment, anti-itch cream, ipecac, aloe, eyewash, sting-kill, sunscreen, and bug spray.*
Parent/Guardian Initials

Food Allergies- Please only select what applies. A member of leadership will reach out to go over listed allergies and how best to accommodate them. An alternative will be provided, but adherence is the responsibility of the attendee.*

GlutenDairyVegetarianPeanuts/Tree NutsNoneOther
If Other, List Below:*
Photo Release - I herby give permission for my child to be photographed during Faith Filled Adventures Camp. I understand the photos will be used to keep a journal of activities, to share during PowerPoint presentations and/or reports to our donors and for promotional purposes including flyers, brochures, newspapers, and on the internet. I understand that although my child’s photograph may be used for advertising, his or her identity will not be disclosed. Faith Filled Adventures Camp will not expect compensation, and all photos are property of Faith Filled Adventures Camp and its affiliates. (If you do not want your child’s image used, please submit a written request including a photo for recognition purposes.) We will do our best to have photos available to the families in an easy to use platform. Please remember that these photos are for camp family use only. Photos are NOT to be posted on any social media site.*
Parent/Guardian Initials
Transportation Release - I give permission for the transportation of my child for official Faith Filled Adventures Camp activities by modes of transportation agreed to by the camp organizers.*
Parent/Guardian Initials
I will be the one to pick up my child at the conclusion of Faith Filled Adventures Camp. In the event I am unable to pick up my child, I authorize the following people with proper identification. I understand my child will not be released to anyone other than myself or those listed below*
Parent/Guardian Initials
Alternate Pickup*
Name & Phone Number

Faith Filled Adventures Camp - Homeschool Outdoor School and it’s co-organizers are not responsible for lost or damaged personal property. All scheduled events are subject to change. I understand that no fees will be refunded or transferred unless a child is unable to attend due to an accident or illness verified by a physician note and we are notified prior to the 7 days before camp. *
Parent/Guardian Initials
We have a strict no phone policy. If a camper is caught with a phone or other electronic device, it will be taken and kept with a staff member until pick up time from camp. If you need to contact your child at any point during camp. Please call either of the following staff members: *
Parent/Guardian Initials
Cabins are usually made up of 5 – 10 kids of similar ages plus cabin leaders. If you would like to request a specific camper be in the same cabin as your child of a similar age, we will do our best to accommodate. Our experience is that kids make new friends at camp. We have experienced having older siblings staying with younger ones, feeling they missed out not being with campers their age. Cabin space is limited, so please understand if we are not able to honor your request. It is also very difficult to make these accommodations once we get to camp. Please provide the name of one camper should we be able to accommodate your request. The other camper must also request to stay with your child in order for this to be considered.*

Camper Code of Conduct

During Faith Filled Adventures Camp you will be away from your family. You will be living and studying in a different home Faith Filled Adventures Camp site. In order for everyone to live in harmony and learn, we have written this code of conduct. We strive to provide a respectful and cooperative learning environment for everyone attending. It is important to have a safe and enjoyable week at camp! Parents, please review these with your camper. Both you and your camper must initial each item. Any camper unable to follow the guidelines listed below may receive disciplinary action. This may include being sent home and not being able to attend the following year. Being sent home is a last resort for Faith Filled Adventures Camp staff but may become necessary to respect the rest of the participants and staff.
- Due to the nature of pranks getting out of hand and hurting people’s feelings as well as causing property damage, we will not allow pranks. No Exceptions.
- No phones or other electronic devices. Cameras are ok.
- Campers or parents are not to post pictures of anyone other than themselves or their own camper on the internet.
- Healthy snacks are encouraged (beef jerky, granola bars, trail mix, etc.) due to this being a really active camp. Certain foods will not be allowed (soda, energy drinks, abundant amounts of candy, etc.) Please try to keep all food in prepackaged containers as we are in the wilderness.
- Speak and act appropriately to other campers and staff: CHRIST-LIKE, with respect, love and acceptance of others. Be a good listener when a staff member talks. Junior Counselors are considered staff.
- Do not touch other people’s personal property.
- Never go anywhere alone! Stay with your group during all classes and activities. Stay with your cabin group during all cabin times. Stay with a buddy whenever you are walking around camp WITH permission from your counselor.
- Be a good steward of God’s earth. Leave all rocks, sticks, and pinecones on the ground. Do not harm trees or plants in any way. Practice “environmental manners”. Pick up your trash and leave the Faith Filled Adventures Camp site better than you found it. Leave wildlife alone. Stay out of the water.
- Walk wherever you go. Only run when you have been given the okay by a staff member in the designated areas.
- Name tags must be worn at all times.
- Prohibited items at camp: No electronic devices, toys, fireworks, firearms, lighters, matches, smoking, vaping, alcohol, drugs, or marijuana. DO NOT BRING THEM. We have a zero tolerance policy.
- No flirting or PDA (Public display of affection) at Faith Filled Adventures Camp. Attempts to drop
  out of sight of others with anyone is grounds for immediate dismissal.
- Wear modest, God-Honoring clothing. No bare midriffs, short shorts, or undergarments showing. Shirts are required when swimming (both male and female). Shoes should have backs for safety purposes.
- Please read the statement of faith on the website to understand our heart of camp and where we stand. We will not have conversations about politics or socio - economic issues at camp.
Camper Initials*
Parent/Guardian Initials*

Release and Waiver of Liability and Indemnity Agreement

Read Carefully Before Signing
In consideration of being permitted to participate in any way in Faith Filled Adventures Camp - Homeschool Outdoor School and/or being permitted to enter for any purpose any restricted area (herein defined as any area where in admittance to the general public is prohibited), the parent(s) and/or legal guardian(s) of the minor participant named below agree:
1. The parent(s) and / or legal guardian(s) will instruct the minor participant that prior to participating in Faith Filled Adventures Camp - Homeschool Outdoor School, he or she should inspect the facilities and equipment to be used, and if he or she believes anything is unsafe, the participant should immediately advise the staff of such condition and refuse to participate. I understand and agree that, if at any time, I feel anything to be UNSAFE, I will immediately take all precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further.
2. I/We fully understand and acknowledge that:
  1. There are risks and dangers associated with participation in Faith Filled Adventures Camp - Homeschool Outdoor School events and activities which could result in bodily injury, partial and/or total disability, paralysis and death.
  2. The social and economic losses and/or damages, which could result from these risks and dangers described above could be severe.
  3. These risks and dangers could be caused by the action, inaction or negligence of the participant or the action, inaction or negligence of others, including, but not limited to, the Releases named below.
  4. There may be other risks not known to us or are not reasonably foreseeable at this time.
3. I/We accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis or death, however caused in whole or in part by the negligence of the releases named below.
4. I/We HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE THE *** facility used by the participant, including its owners, managers, promoters, lessees of premises used to conduct the Faith Filled Adventures Camp - Homeschool Outdoor School event or program, premises and event inspectors, underwriters, consultants and others who give recommendations, directions, or instructions to engage in risk evaluation or loss control activities regarding *** facility or events held at such facility and each of them, their directors, officers, agents, employees, all for the purposes herein referred to as “Release”…FROM ALL LIABILITY TO THE UNDERSIGNED, my/our personal representatives, assigns, executors, heirs and next of kin FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES AND DAMAGES AND ANY CLAIMS OR DEMANDS THEREFORE ON ACCOUNT OF ANY INJURY, INCLUDING BUT NOT LIMITED TO THE DEATH OF THE PARTICIPANT, OR DAMAGE TO PROPERTY, ARISING OUT OF BUT NOT LIMITED TO EVENT(S) CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEE OR OTHERWISE.
5. I/WE HEREBY acknowledge that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death/or property damage. Each of THE UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.
6. EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law or the province or state in which the event is conducted and that if any portion is held invalid, it is agreed that the balance shall notwithstanding continue in full legal force and effect.
7. On behalf of the participant and individually, the undersigned partner(s) and/or legal guardian(s) for the minor participant executes this Waiver and Release. If, despite this release, the participant makes a claim against any of the releases, the parent(s) and/or legal guardian(s) will reimburse the releases for any money they have paid to the participant, or on his behalf, and hold them harmless.
  
  I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY THE LAW.
*** Facility: CAMP TADMOR - 43943 McDowell Creek Dr, Lebanon, OR 97355
Parent / Guardian Signature *

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Camper Signature *

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Camper Registration Form

Medical Information

Camper Code of Conduct

Release and Waiver of Liability and Indemnity Agreement