Family Camp Registration

Parent/Guardian Information

Emergency Information

Informed Consent and Acknowledgement

I hereby give my approval for myself and my child’s participation in any and all activities prepared by G.A.C.T. during the selected camp. In exchange for the acceptance of parent and said child’s candidacy by  G.A.C.T., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless G.A.C.T. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to parent and said child, I hereby waive all claims against  G.A.C.T. including all counselors and affiliates, all participants, sponsoring agencies, advertisers, 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 activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization

As Parent and/or Guardian of the named child, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of myself and/or the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the parent/minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for myself and/or the named child. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made.

Permission is also granted to the  G.A.C.T. . and its affiliates including Directors, Counselors, and Team Parents to provide the needed emergency treatment prior myself and/or  to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered camping session.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of myself and/or the named minor child.