Adventure Guides Program Registration (GCPE, GHV, Sunshine)

Welcome to Adventure Guides

This YMCA program helps build strong bonds between children and the dads that guide them. Through monthly campouts and themed outdoor activities, families create meaningful memories together.
Note: For moms, guardians, or both parents with kids, register at ymcaoc.org/family-guides instead of using this form.Tap next to continue

Program Info:

Registration is open in May and continues throughout the Adventure Guides year. Program fees include access to the YMCA Adventure Guides program, the Adventure Guides Pin program and access to all events. Registration inthe YMCA Adventure Guides program allows a family to become a member at the Y facility for 50% off the monthly membership fee. Event fees are separate from the program registration fees.

Program Fees:

Adult + First Child: $275*

*Before July 1st: $225

Additional Children: $75 each

Payments: After completeion of this form, a username and password will be emailed to you so you can access your account information and make payments securely online.

Please feel free to contact your local YMCA branch for additional information.
- Laguna Niguel/Capistrano Beach Cities (949)495-9622
- Mission Viejo (949)859-9622
- Newport Mesa/Huntington Beach (949)642-9990
- Fullerton/Yorba Linda/Placentia (714)879-9622
Tap next to continue

Two ways to register

This form was built by volunteers to make sign-up easier.

You can use this form or register through the YMCA DaycareWorks system.

If any of the follow apply, go to ymcaoc.org/adventure-guides or contact your local branch instead of using this form:
- You already have a DaycareWorks account
- Someone in your household has been in a YMCA program
- You know your Expedition and Circle name
Good to go? Tap Next to continue.

Adult Participant Name*

First NameLast Name
Email*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code

Emergency Contact Name*

First NameLast Name
Relationship to Emergency Contact*
Emergency Contact Cell Number*
Please enter a valid phone number.

Adult Participant Name*

First NameLast Name
Adult Participant Date of Birth*

MonthDayYear
Date
Adult Participant Gender*

Male

How Expeditions and Circles Work

A "Circle" is a small group typically of 10 - 30 kids - usually based on common neighborhoods or schools.

These Circles typically meet once a month, locally. This can be at a members home, the beach, a park, or any fun and conveninent venue for the kids.

Several Circles combine to form an "Expedition" covering a larger regional area.

Adventure Guides events and campouts are for the entire Expedition, which are typically 6-10 events throughout the school year. You can expect 100 - 200 attending each event (fathers + children).

Tap Next to continue.

Child Participant Information

List the full name of the child you are registering for this program. You will have a chance to add more children after this first step. Order of children listed does not impact your registration.
Child Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
Child's Gender*

MaleFemale
Expedition Name*
If you do not know the name of your expedition, select "Unknown"
Circle Name*
If you do not know the name of your circle, type "Unknown"
Child's School Name*
If your child will be going to a new school within the next two months, please use that name
Would you like to list additional children?

YesNo

Child #2

Please enter the following information to add a second child to your form (order of children has no impact on the form).
Child #2 Name

First NameLast Name
Child #2 Date of Birth

MonthDayYear
Date
Child #2 Gender

MaleFemale
Child #2 Expedition Name
If you do not know the name of your expedition, select "Unknown"
Child #2 Circle Name
If you do not know the name of your expedition, type "Unknown"
Child #2 School Name
If your child will be going to a new school within the next two months, please use that name
Would you like to register additional children

YesNo

Child #3 Name

First NameLast Name
Child #3 Birth Date

MonthDayYear
Date
Child #3 Gender

MaleFemale
Child #3 Expedition Name
Child #3 Circle Name
Child #3 School Name

Assumption of Risk, Release and Waiver of Liability and Indemnity Agreement

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IN CONSIDERATION for being permitted to utilize the facilities, services, and programs of the YMCA of Orange County (the “YMCA”) and/or for my children listed above to so participate for any purpose, including, but not limited to observation or use of facilities or equipment, or participation in any off-site program affiliated with the YMCA, the undersigned, on behalf of himself or herself and such participating children and any personal representatives, heirs, and next of kin (hereinafter referred to as “the undersigned”) hereby acknowledges, agrees and represents that he or she has inspected and carefully considered such premises, equipment and facilities and/or the affiliated program and that the undersigned finds and accepts the same as being safe and reasonably suited for the use or participation by the undersigned and such participating children. IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER THE YMCA FACILITIES OR PROGRAMS FOR ANY PURPOSE INCLUDING, BUT NOT LIMITED TO, OBSERVATION OR USE OF FACILITIES OR EQUIPMENT, OR PARTICIPATION IN ANY ON-SITE OR OFFSITE PROGRAM AFFILIATED WITH THE YMCA, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING: THE UNDERSIGNED, ON HIS OR HER BEHALF AND ON BEHALF OF SUCH PARTICIPATING CHILDREN, HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the YMCA, its directors, officers, employees, volunteers and agents (hereinafter referred to as “Releasees”) from all liability to the undersigned or such participating children and all personal representatives, assigns, heirs, and next of kin of the undersigned or such participating children for any loss or damage, and any claim or demands on account of any property damage or any injury to, or an illness or the death of, the undersigned or such participating children (or any person who may contract an illness, directly or indirectly, from the undersigned or such participating children) whether caused by the negligence, active or passive, of the Releasees or otherwise while the undersigned or such participating children are in, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with the YMCA. The undersigned expressly and knowingly waives all rights under California Civil Code Section 1542, which provides: “A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement with the debtor or released party.” THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees, and each of them, from any loss, liability, damages or costs they may incur, whether caused by the negligence, active or passive, of the Releasees or otherwise while the, undersigned or any participating child is in, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with the YMCA. The undersigned understands and agrees that the YMCA is not required to provide insurance to cover the undersigned or such participating children in the event they suffer illness, injury, death, property loss, theft or damage of any sort upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with the YMCA. The undersigned agrees and acknowledges that use of the YMCA facilities and services, and participation in the YMCA programs, may involve inherent danger and risk, including, without limitation, the risk of physical illness or injury, death or property damage. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR, AND RISK OF ILLNESS, BODILY INJURY, DEATH OR PROPERTY DAMAGE to the undersigned or such participating children due to negligence, active or passive, of Releasees or otherwise while in, about or upon the premises of the YMCA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the YMCA. The undersigned acknowledges that any illness or injuries that the undersigned or such participating children contract or sustain may be compounded by negligent first aid or emergency response of the Releasees and waives any claim in respect thereof. The undersigned further expressly agrees that the foregoing ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, COVENANT NOT TO SUE, AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Electronic Signatures. The undersigned expressly agrees that this ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, COVENANT NOT TO SUE, AND INDEMNITY AGREEMENT, and any other agreement or document relating to the use of or participation in the facilities, services, and programs of the YMCA (including, without limitation, any membership agreement) by the undersigned or such participating children, shall be valid, binding, and enforceable against the undersigned when executed and delivered by means of (i) an original manual signature, (ii) a faxed, scanned, or photocopied manual signature, or (iii) any other electronic signature permitted by the federal Electronic Signatures in Global and National Commerce (E-Sign) Act, the California Uniform Electronic Transactions Act (UETA), and/or any other relevant electronic signatures law (collectively, the “Signature Law”), in each case to the extent applicable. Each faxed, scanned, or photocopied manual signature, or other electronic signature, shall for all purposes have the same validity, legal effect, and admissibility in evidence as an original manual signature. The YMCA shall be entitled to conclusively rely upon, and shall have no liability with respect to, any faxed, scanned, or photocopied manual signature, or other electronic signature, of the undersigned and shall have no duty to investigate, confirm or otherwise verify the validity or authenticity thereof. For the avoidance of doubt, original manual signatures shall be used for execution or indorsement of writings when required under the Signature Law due to the character or intended character of the writings. I HAVE CAREFULLY READ AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT AND FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENT APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE. I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP VALUABLE LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES FROM THE YMCA IN CASE OF ILLNESS, INJURY, DEATH OR PROPERTY LOSS OR DAMAGE. I UNDERSTAND THAT THIS DOCUMENT IS A PROMISE NOT TO SUE AND A RELEASE OF AND INDEMNIFICATION FOR ALL CLAIMS. IF SIGNING ON BEHALF OF MINOR: I ALSO UNDERSTAND THAT THIS AGREEMENT IS MADE ON BEHALF OF MY MINOR CHILD(REN) AND/OR LEGAL WARDS AND I REPRESENT AND WARRANT TO THE YMCA THAT I HAVE FULL AUTHORITY TO SIGN THIS AGREEMENT ON BEHALF OF SUCH MINOR(S). I have read and understand the terms of this Assumption of Risk, Release and Waiver of Liability, Covenant Not To Sue, and Indemnity Agreement and agree to its terms.

ZERO TOLERANCE POLICY ALCOHOL & DRUG USE in YMCA ADVENTURE GUIDES PROGRAM

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The purpose of the Adventure Guides programs is for parent(s)/guardian(s) to spend

quality time with their child(ren) engaging in activities and events that provide lasting

memories. As a YMCA of Orange County program, Adventure guides activities and events

are free from any substance that may inhibit our ability to maintain a fun, positive, and

safe environment that promotes a healthy, spirit, mind, and body for all.

Additionally, because of the demand for good campgrounds, the YMCA often reserves

space and signs contracts for camps up to a year in advance. The majority of these camps

do not allow alcohol or drugs (include those legal in California) on their premises and can

exclude an entire YMCA if the ban is violated, depriving thousands of program members

the opportunity to hold events there.

A STRICT ALCOHOL/DRUG BAN is mandated at all campouts and program events. The

ban policy refers to the possession and/or consumption of all alcoholic beverages and/or

controlled substances, including marijuana of any form.

Additionally, individuals who are taking prescription medication that may impair

physical or mental function are expected to avoid activities that would place himself or

herself, participants, or any individual at risk.

THE PENALTIES FOR ALCOHOL/DRUG BAN VIOLATIONS will include any or all of the

following (as determined by a special panel):

1. Immediate removal of all alcoholic beverages or drugs (and for drugs immediate

expulsion from event).

2. Exclusion from future campouts and/or events for the violator and his or her

child(ren).

3. Exclusion from future campouts and/or events for the entire circle of the violator.

4. Expulsion from the Adventure Guide Program for the violator and his or her

child(ren)

5. Expulsion from the Adventure Guide Program for the entire circle of the violator.

Help preserve the enjoyment for you, your child and everyone else

OBEY THE ALCOHOL/DRUG BAN!

Adventure Guides Policies
The YMCA Adventure Guides program is heavily based on rituals and traditions that bring the sense of continuity, community, intrigue and magic to the program. The program today centers on the following for both parent and child:
1. To be clean in body and pure in heart.
2. To be friends forever with my dad/mom/son/daughter
3. To love the sacred circle of my family
4. To listen while others speak
5. To love my neighbor as myself
6. To respect the traditions and beliefs of all people
7. To seek and preserve the beauty of Our Creator’s work in forest, field and stream
RESPONSIBILITY

In joining the Adventure Guides program, I agree to uphold the aims of the program and place in high regard my responsibility as a parent and as a role model for all youth in the program. I will supervise my child (ren) at all events, be respectful of all rules and regulations set forth for facilities used by our program, and at all times set an example consistent with the YMCA purpose and mission.

CODE OF BEHAVIOR

As a member of the YMCA Adventure Guides program, I agree to uphold the YMCA of Orange County Adventure Guides programs standards. I agree to not bring or consume alcoholic beverages or illegal drugs at any YMCA sponsored event. I understand that if I am found in violation of this policy, I may be asked to leave the program immediately and forfeit any monies paid.

REFUNDS

Program fees are not refundable. Event Fees include all fees paid at the time of registration for a specific event. Some events have a clearly stated no refund policy. In all other situations the YMCA requires to be notified within 10 days of the start of the event to process a refund. Notification must be made to the Program Director by email, mail or phone call.

HEALTH STATEMENT

I hereby certify my children and I are in satisfactory health and capable of safe participation in the YMCA Adventure Guides programs. I assume all risks and hazards incidentals to the conduct of this program and for the transportation to and from activities. I hereby authorize the YMCA to obtain medical treatment for my child in the event that I cannot be reached. Additional, if I do not accompany my child on an outing, I will send a written note of authorization of medical treatment with the guardian of my child. If my child has any known health problems/conditions or allergies the YMCA staff should know about, I will fill out a record of health form for the YMCA to keep on file.

My signature below indicates that I have received and will abide by the Adventure Guides policies, the Adventure Guides Alcohol Policy and I have read and understand the terms of this Assumption of Risk, Release and Waiver of Liability, and Indemnity Agreement and agree to its terms.
Signature*

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Adult Participant Signature
Today's Date*

MonthDayYear
Date

YMCA PHOTO/AUDIO VISUAL/NARRATIVE RELEASE
I am 18 years of age or older and, if not, my parent or legal guardian has also provided their consent by signing below.

Consent & License. For my participation in activities to be conducted by the YMCA of Orange County or any of its chartered member associations in the United States (collectively “the Y”), and collaborating third parties, I consent, now and for all time, to the making, reproduction, editing, broadcasting or rebroadcasting of:
- video film or footage of me,
- sound track recordings of me
- photo reproductions of me
- any narrative account of my experience
My consent includes a perpetual license to the Y and collaborating third-parties for the use of the above materials for publication, display, sale or exhibition in promotions, advertising, education and commercial uses. Use includes reproductions in any form and media currently existing or later conceived, adaptations and/or revisions, throughout the world in perpetuity.

I understand and agree there may be no additional compensation for this license, and I will not make any claim for payment of any kind from the Y or collaborating third-parties. I may, or may not be, identified in such licensed uses; however, my name will not be used to endorse any particular products or services.

Ownership, Confidentiality, and Shared Use. With respect to any of the above uses, I further agree:
- All works shall belong to YMCA of Orange County;
- The Y has no duty of confidentiality regarding any licensed uses;
- YMCA of Orange County shall exclusively own all known or later existing rights to the uses throughout the world;
- The Y and collaborating third-parties may use any video film, footage, sound track recordings and photo reproductions of me and/or my narrative account for any purpose without additional compensation to me.
Release from Liability. I agree that my consent is irrevocable. I hereby release and discharge The Y and collaborating third-parties, from any and all claims, actions, lawsuits or demands of any kind arising out of my consent, license grants, uses, or the shared uses of any works or materials referenced herein.

I am the parent or legal guardian of (child’s name). I hereby consent and grant the licenses detailed in the foregoing on behalf of my minor child.
Signature*

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Welcome to Adventure Guides

Program Info:

Two ways to register

How Expeditions and Circles Work

Child Participant Information

Child #2

Assumption of Risk, Release and Waiver of Liability and Indemnity Agreement

ZERO TOLERANCE POLICY ALCOHOL & DRUG USE in YMCA ADVENTURE GUIDES PROGRAM

Adventure Guides Policies

YMCA PHOTO/AUDIO VISUAL/NARRATIVE RELEASE