Tween Retreat 2026 Camper Registration
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  • Tween Retreat Camper Registration

    Register your camper here if they are attending this retreat with their church group.
  • Camper Info

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  • Permission to Attend

  • The following churches have registered to bring their groups to this event at Crestfield.  Please identify your group/church from the list and type it in the space provided below.

    • Ben Avon - Cassie Semler
    • Bower Hill - Amy Grella
    • East Liberty - Sara Hackett
    • Hampton - Karen Shumaker
    • Oakmont - Ronnie Bailey
    • Shadyside - Ellen Allston
  • Medical

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  • Instructions and Notes about Medications:

    • Send all medications in original packaging.
    • Put all medications together in a zip lock bag labeled with your child's first and last name and the name of your church.  Inside the bag, include a typed or neatly written note explaining dose times and amounts.  
    • Please give your child's medication bag to your church group leader when you drop them off for camp.  
    • While at camp, your child's medication will be tracked and administered by their church leader. 
    • If your child's medication requires refridgeration or other unique storage, please note that above and communicate it to your church leader as well.  
  • The following over the counter medications/products will be available to campers who who request them via their church leader.  If you have concerns about any of the medication listed, please let us know below.

    • Acetaminophen (Tylenol)
    • Aloe
    • Anatacids
    • Antibiotic Cream
    • Antihistamines (Benadryl, Diphenhydramine, etc.)
    • Calamine Lotion
    • Cortizone
    • Electrolyte drink mixes (Liquid IV, Gatorade, etc.) 
    • Ibuprofen (Advil)
    • Insect Repellent
    • Pepto-Bismol
    • Sting Swabs
    • Sunscreen
  • Crestfield Camp and Conference Center Liability Release

  • There are significant elements of risk in any adventure, sport, activity, or training associated with a climbing wall, ropes course, or other camp programming (referred to herein as “activities”), and the use of any equipment. Activities include, but are not limited to; mountain biking, archery, canoeing, swimming, low and high ropes course elements, and zip line. Activities take place on and off Crestfield Camp and Conference Center’s facility.  

    Acknowledgement of Risks: I/my child recognize the fact that there is an inherent danger in these types of activities, even though safety systems are provided. These risks may result in serious injury or death, and include but are not limited to: 

    • Falls 
    • Risk associated with climbing or down climbing
    • Equipment failure
    • I/my child’s and or other children’s physical condition, sense of balance, decision making, and the ability to follow or give directions
    • Failure on my/my child’s part to disclose a medical condition and/or physical activity concern that my child may have. I/my child also acknowledge that certain foreseeable and unforeseeable events can contribute to the unpredictability of the activity, such that personal property may be damaged or lost, and that wearing appropriate clothing and footwear are basic safety precautions
    • Risk associated with transportation to offsite activities
    • Risk associated with participating in aquatic activities
       

    Express Assumption of Risk Responsibility: In recognition of the inherent risks of the activity that I/my child will engage in, I affirm that I/my child is physically and mentally capable of participating in the activity and/or using equipment. I realize it is my/ my child’s responsibility to inform the camp staff of any and all medical conditions and/or physical activity concerns I/my child may have, and to limit my/my child’s participation in any way I/my child deem appropriate. I/my child participates willingly and voluntarily and I/my child assume full responsibility for personal injury, accidents or illness, including death, and any expenses as a result of any accident that may occur. I/my child voluntarily and knowingly assume the risk(s) of personal injury, accidents and/or illnesses, including, but not limited to sprains, torn muscles and/or ligaments; fracture or broken bones; eye damage; cuts; punctures, wounds, scrapes, and abrasions; spinal injuries; animal bite or attack; insect bite or allergic reaction; shock; paralysis and/or death; and acknowledge that during the activity I/my child may experience fatigue, chill and/or dizziness that my diminish my/my child’s reaction time and increase the risk of an accident. 

    Acknowledgement and Assumption of Risks Including COVID-19 Risks: I understand that Retreat/Camp attendance and participation in the Retreat/Camp Activities involve health and safety risks and dangers, known and unknown, inherent and otherwise, that cannot be eliminated and which can cause injury, illness, paralysis or death to me, my family members and other persons, and/or damage to property. Additionally, attendance and participation during the COVID-19 pandemic presents additional health and safety risks and dangers.  Some, but by no means all, of the additional risks presented include: (i) COVID-19 is highly contagious; (ii) individuals frequently do not develop COVID-19 symptoms until after they are contagious; (iii) exposed individuals may have more serious symptoms due to their age and/or known and unknown medical conditions; (iv) failure to properly sanitize the facilities and/or equipment; (v) others involved with the facilities, Retreat/Camp and the Retreat/Camp Activities' failure to take proper actions to prevent or minimize exposure and/or failure to have proper protective equipment; and (vi) the acts, omissions, and negligence of the Released Parties.  I assume full and sole responsibility for all risks, known and unknown, inherent or otherwise, related to my child/children’s Retreat/Camp attendance or participation in the Retreat/Camp Activities and acknowledge that my child/children are attending the Retreat/Camp and participating in Retreat/Camp Activities with knowledge and acceptance of these risks.

    Covenant of Good Faith: I/my child recognize that you, as provider of services, will operate under a covenant of good faith and fair dealing, but that you may find it necessary to terminate an activity due to forces of nature; medical necessities or problems in the group; and/or refuse or terminate the participation of any person you judge to be incapable or meeting the rigors or requirements of participating in the activity. I/my child accept your right to take such actions for the safety of me/my child and/or other participants. I/my child acknowledge that no guarantees have been made with respect to activity objectives. 

    Medical Authorization: I hereby authorize any medical treatment deemed necessary for me/my child in the event of any injury or illness while participating in the activity. I/my child either have appropriate insurance or in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my/my child’s behalf. 

    Release of Liability: In consideration of services or property provided, I, as legal guardian, my child, any heirs, personal representatives or assigns, do hereby release: Crestfield Camp and Conference Center, its principles, directors, officers, agents, employees, and volunteers, and each and every land owner, municipal and/or government agency upon whose property an activity is conducted, from all liability. 

    I have read and understand the foregoing acknowledgement of risk, express assumption of risk responsibility, and covenant of good faith and release of liability. I/My child and I understand that by signing below I may be waiving valuable legal rights. By signing below, it is intended also to bind our heirs, representatives, executors, administrators, successors and assigns. I also give permission for me/my child to participate in the entire camp program; to travel in camp vehicles for off camp property trips.

    Photo/Media Release: I give permission for the image of myself and/or my child to be used by Crestfield Camp and Conference Center for media and promotional use.

  • Guardian's Signature

    Please verify your consent and the accuracy of the information given above by signing below
  • Clear
  • Almost Done!

    Your registration will be complete after your registration is time stamped and you verify your electronic signature ON THE NEXT PAGE. So stick around after you hit the "continue" button below because you still have one more quick thing to do.
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