• Retreat Registration & Release Form

    Lake Lavon Camp
  • Please complete this form in its entirety (one form for each attendee). Hitting SUBMIT is the final step.

  • Gender*
  • Birthdate:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • SPECIAL DIETARY NEEDS
    Due to the limitations of our staff and facilities and the volume of guests that we serve, our ability to accommodate special dietary needs is very limited.

    With the exception of some coconut ingredients, we do not serve nut products in our Dining Hall.

    We are able to provide gluten-free (GF) and dairy-free (DF) options when given prior notice (at least 7 days). Please note that a $3 surcharge per meal, per person, will be applied to your group's invoice for any GF or DF meal alternatives requested. If you do request alternatives ahead of time, please check in with our Food Service Team at the beginning of the serving line at each meal.

    Other serious food allergies may be accommodated on a case-by-case basis, but we cannot guarantee the availability of acceptable alternatives. If you have any serious food allergies or special dietary requirements we should know about, please explain below, and our Food Service Team will take note (but again, we are unable to accommodate every request).

    In cases where we are not able to accommodate, we invite you to bring your own food items, and we will provide storage, refrigeration, and access to a microwave as needed.

  • Do you have a food allergy or dietary restriction we should know about?*
  • I would like to request the following dietary accommodations be provided at each meal:*
  • Format: (000) 000-0000.
  • I give permission to Lake Lavon Camp and Conference Center’s management, medical staff, and/or the group director to provide medical treatment that may be deemed necessary to insure the well-being of the named attendee. I, the undersigned, do hereby verify that the above information is correct and I do hereby release and forever discharge all from any and all claims, demands, actions or cause of action arising out of damage or injury while participating in Lake Lavon Camp sponsored activities. 

  • AGREEMENT TO ATTEND, PARTICIPATE, ASSUMPTION OF RISK AND RELEASE OF LIABILITY 

     

    Lake Lavon Camp & Conference Center, hereinafter referred to as the "Camp" requires a signature for all attendees of the Camp and all participants of any Camp activity including, but not limited to, Challenge/Ropes Course (highs and lows), Zipline, Swimming, Boating, Basketball, Football, Baseball, Softball, Volleyball, Horseshoes, Archery, Archery Tag, Rifle Range, Axe Throwing, GaGa Ball, and any and all other camp and recreational sports and activities.

    Furthermore, this form releases the Camp to photograph and/or use photographs of myself or my child for use in its publications, advertising, promotional purposes, Internet, and/or visual presentations which inform people of the services and activities of Camp. The signature provided confirms Agreement to Attend, Participate, Assumption of Risk, and Release Form in order to attend Camp and to participate in any Camp activity. Attendance and Activities at Camp may include warms-ups, games, group initiative problems, high and low challenge course, and/or other rigorous physical adventure activities as well as exposure to the elements, exposure to animals, snakes and insects. Camp takes all reasonable precautions to ensure you a safe and enjoyable experience. Parts of the experience, by their nature, can be physically demanding and include varying levels of stress and anxiety, not all of which can be foreseen.

    The decision to attend the Camp and the decision to participate in any Camp activity at any level IS AT ALL TIMES COMPLETELY UP TO THE INDIVIDUAL'S CHOICE and, if there is attendance at the Camp and participation at any level of any Camp activity, there is a risk, which must be assumed by each attendee and by each participant. Although it is the Camp's goal to maintain the physical, emotional and social safety of each attendee and participant of the Camp, the physical, emotional and social risks must be assumed by each attendee and participant. 

    I understand that attendance at the Camp and participation in any Camp activity may be physically and emotionally demanding. I recognize the inherent risk of physical and/or emotional injury of attending Camp and participating in any and/or all Camp activities. I understand that each participant must assume the risk of any injury, physical and/or emotional, and any financial responsibility that could result from attending Camp and participating in any Camp Activity. I agree to assume such risks and such responsibility. I, on my behalf, and on behalf of my heirs and assigns, hereby release, indemnify and hold harmless Lake Lavon Camp and Conference Center from any and all claims, physical and emotional, including bodily injury, that I may have that may be sustained in connection with my attending Camp and with my participation in any and/or all Camp activities. 

    I understand the directors of Lake Lavon Camp and Conference Center reserve the right to dismiss, without refund, any camper whose influence is detrimental to the operation of the camp, as determined by the discretion of the directors. I understand that the use of alcohol, tobacco products, and illegal drugs is strictly prohibited at all Lake Lavon Camp and Conference Center programs. 

    I have read (or had read to me) this complete document and I understand the information contained herein. I have freely and voluntarily signed this document. 

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Everyone attending Lake Lavon Camp should understand that attending camp includes a certain amount of inherent risk and that it is a choice to attend. Lake Lavon Camp takes every guest's wellbeing very seriously, and follows the protocols set forth by the State of Texas. 

  • Should be Empty: