BV Kids Camp Registration Form

Parent/Guardian Information
Name*

First NameLast Name
Address*

Street Address

Mailing Address

CityState

Zip Code
Home Number*

Area CodePhone Number
Cell Number*

Area CodePhone Number
Below, please list all persons authorized to pick up your child from camp:
Authorized Pick-Up*

First NameLast Name
Authorized Pick-Up

First NameLast Name
Authorized Pick-Up

First NameLast Name
Authorized Pick-Up

First NameLast Name
Authorized Pick-Up

First NameLast Name

ACTIVITY & FIELD TRIP RELEASE:

PLEASE CAREFULLY READ AND THEN CHECK EACH OF THE FOLLOWING GUIDELINES FOR CAMPERS:
READ & APPROVE:*

My child needs to come to camp healthyI understand camp is from 9:00 a.m. to 3:00 p.m. (earliest drop-off is 8:45)I understand that all female campers and counselors are required to wear a 1-piece bathing suit (speedo style) when participating in any water activityMy child needs to come to camp EVERY DAY with closed toed walking shoes. NO skates on bottom, NO SANDALSMy child needs to come to camp EVERY DAY with a lunch & water bottle in a 2-strap shoulder backpack.Should my child become disruptive during activities, or physically threatening or harmful toward another camper or counselor, I agree to arrange for immediate pick-up of my child.Only 1 camp T-shirt per camper (regardless of how many weeks attending)
Any Restrictions on Physical Activities?*
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities at camp. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Bear Valley Kids Camp & Big Bear Christian Faith Center and all its respective officers, agents, and representatives from any and all liability for injuries to registered camper arising out of traveling to, participating in, or returning from selected camp sessions.

I AGREE to grant to Bear Valley Kids Camp and its advertising and promotion agencies the right to use and publish worldwide and in perpetuity, in any and all forms of media now known or hereafter devised, including without limitation online and in social media, without approval or compensation, my image and/or performance captured at any Bear Valley Kids Camp activity or location.

In case of injury, I hereby waive all claims against Bear Valley Kids Camp & Big Bear Christian Faith Center. including all counselors and affiliates, all participants, sponsoring agencies, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all camp activities.

I acknowledge and fully understand the potential risk of COVID-19. While BVKC is making significant efforts to ensure the safety of campers, counselors, parents/guardians and or spectators, and volunteers, I acknowledge our camp events are not guaranteed to be COVID-19 free environments.

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HERBY RELEASE AND HOLD HARMLESS Bear Valley Kids Camp and Big Bear Christian Faith Center, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (RELEASEES), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
PARENT / GUARDIAN SIGNATURE:*
Should be Empty:

Bear Valley Kids Camp Registration