2018 FAMILY CAMP AT WALTMAN LAKE

FAMILY CAMP REGISTRATION

Waltman Lake

July 20-22, 2018 (for families)

Cost: $25/PERSON ($100 max per family)

Max Capacity: 100 people

Registration Deadline: Monday, July 2.

Scholarships

Limited scholarship money is available for families with financial need. Application required.

Please contact Misty at mistyc@christmemorial.org or Doris at dorisvk@christmemorial.org for more information.

What to expect:

Waltman Lake Camp is a great place to spend time with friends and make some wonderful memories.If you love camping, this is a perfect opportunity to enjoy this beautiful setting with your family and the company of others. Highlights include canoeing and kayaking, campfires and marshmallows, awesome group games, and some great conversations about God in the midst of His beautiful creation.

Housing options include: cabins, RV hookups, and bunkhouses.

$ 25 DEPOSITS ARE NOW BEING ACCEPTED!

No registration will be accepted without deposit/payment.

Once you have completed THIS form, you will be sent an email confirmation from

Christ Memorial with the online link to pay for your trip.

Registration requirements

As a participant in CMC’s Family Camp Weekend at Waltman , you are expected to fulfill the following requirements:

Complete

this registration form online
financial requirements (sent in confirmation email once this is complete)
CMC health/liability forms (sent in confirmation email once this is complete)

The deadline for this trip is July 2.
No registration forms will be accepted without the deposit.

NOTE:

Once a trip is at “full” capacity, a waiting list will be created.
Priority will be given to those actively engaged in the ministries of Christ Memorial Church.
Your spot will not be held without the deposit.

Household Contact Information

Adult #1 Name: *

Adult #2 Name:

Total # of Adults *

Child Full Name:

Total # of Kids *

Child Full Name:

Address 1 *

City *

State *

Zip *

Cell Phone # *

Email Address *

Roommate Request:

Accommodation Choice *

Any other information or special needs you would like to share with us (allergies, food allergies, health issues, etc.):

In checking YES, I AGREE on this document, I hereby certify that the ALL of the enclosed information is correct. In the event that I cannot be reached, I hereby give permission to the physician selected by the CMC staff to obtain proper medical diagnosis, hospitalize, secure proper treatment for and to order injection, anesthesia or surgery for my child as named above.

I also acknowledge I have read, understand and accept the terms listed below:

RELEASE OF LIABILITY

The PARTICIPANT, their PARENTS, GUARDIANS, HEIRS, ASSIGNS and REPRESENTATIVES hereby release Christ Memorial Reformed Church, its staff members, volunteers, agents and representatives of any and all liability for any loss, injury, or property damage which may be the result of any aspect of any mission trip, retreat, event, excursion or regular programming/classes including transportation to/from these activities. The Participant may participate in activities as mentioned above located both on and off CMC property for the duration of this release. The Participant and the Participant's Parent(s) and/or Guardian(s) understand, acknowledge and accept that there are inherent risks, both known and unknown, in travel and in the activities in which the participant will engage in during mission trip, retreat, event, excursion or regular programming/classes.

The Participant and the Participant's Parent(s) and/or Guardians also understand and acknowledge that individual Participants are not covered under any policy of insurance held by Christ Memorial Reformed Church and that Participants must provide any and all insurance coverage for themselves, including, but not limited to health, life and liability insurance.

Photographs or videos may be taken during the experience of the mission trip, retreat, event, excursion, or regular programming/classes you or your child will be participating in. By signing this form, you are authorizing Christ Memorial Church to use those videos and/or photographs in any manner deemed appropriate by Christ Memorial Church, including, but not limited to use in promotional materials or church services.

This release is valid from January 1, 2018 to December 31, 2020.

Yes - I agree

Adult Signature (signing on behalf of entire family unit) *

Date *

Report abuse