• River of Life Adventure Break Camp

    Grades Pre-K thru 5th
  • Pre-K through 5th grade

    June 12th through the 16th, 2023. 

    Program runs from 9:00 am to 12:00 pm.

     

     

     

  • REGISTRATION AND MEDICAL RELEASE MUST BE COMPLETED BY PARENT/GUARDIAN PLEASE PRINT

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    Pick a Date
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  • Consent and Release from Liability

    **I grant permission to Holy Trinity Lutheran Church and its agents and employees the unrestricted right to reproduce the photographs and/or video images taken of my child, for the purpose of publication, promotion, or advertising, in any manner or in any medium. I hereby release Holy Trinity Lutheran Church and its legal representatives for all claims and liability relating to said images or video.

    I understand that participation in this event is not without risk to my child because of the group nature of the activity/event and unpredictable behavior of any group, even when managed with the greatest amount of care.

    I understand that all reasonable safety precautions will be taken at all times by Holy Trinity Lutheran Church and its agents during events/activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold Holy Trinity Lutheran Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by my child.

    In addition, this health information is correct, as far as I know and the person named herein has my permission to engage in all prescribed activities except as noted by me. I hereby give permission to the physician selected by Holy Trinity Lutheran Church to hospitalize, secure medical treatment, and/or order and injection, anesthesia, or surgery for my child as deemed necessary.

     

    Participation Agreement

    We have read, understand and agree to abide by all rules and restrictions of Adventure Break Camp.  We also understand that failure to do so can result in dismissal from the program.

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