Emergency and Liability Release:
I hereby:
1. Affirm there is no need for a doctor’s examination prior to camp based on current health. If a doctor’s
examination is deemed necessary by the camp staff, I will obtain one for my child.
2. Certify that my child, named above, is in good health, free from and not exposed to communicable
diseases within the last three weeks prior to camp time.
3. Authorize the camp first aid provider to give medications based on included instructions.
4. IN CASE OF MEDICAL and/or SURGICAL EMERGENCY or other necessary medical attention and I
am not able to be reached, I give permission to the trained medical staff selected by the camp director
to hospitalize, secure proper treatment for, release any records necessary for insurance purposes,
provide or arrange necessary related transportation, and order injection, anesthesia, x-rays, or surgery
for my child as named above.
5. Agree not to obligate Camp Oak Hills to pay medical bills related to treatment.
6. Allow my child to participate in all camp activities unless written instructions are sent indicating
otherwise.
7. Understand that camp reserves the right to dismiss any camper whose action, behavior, or attitude, in
their judgment, is contrary to the best interests of the camp.
8. Agree that any pictures or video of the camper taken at camp may be used by New Life Bible Camp
(NLBC) or their assigned agents for art, advertising, and promotional literature. I waive my right to
inspect or approve the finished product or copy. Camp photos/videos will not be used by other
organizations.
9. Authorize the camp to inform our church of any spiritual decision made by my child.
10. I have chosen to allow my child to attend NLBC in part because of the camp activities they offer. I
understand and acknowledge that participation in the everyday camp activities offered (including but
not limited to the climbing wall, hiking, challenge course elements, archery, slingshots, water
sports[swimming, boating, water tubing, skiing, wakeboarding, fishing, slip & slide], campouts, field
games[baseball, soccer, volleyball, dodgeball, etc], canoe trip, paintball) entails both known and
unanticipated risks of harm which could result in physical or emotional injury, paralysis, death, or
damage to the participant, to property, or to third parties. I understand and acknowledge that such risks
simply cannot be eliminated without jeopardizing the essential qualities of the activity. I further
understand and acknowledge that the risk of harm inherent in these activities may be increased by
factors beyond the control of NLBC, including but not limited to the weather and elements, equipment
manufacturer’s malfunction, and a participant’s fitness and abilities.
11. Release NLBC, its staff, and volunteer workers from any liability or claims which may arise related to
my child’s participation in programs or trips sponsored by NLBC.