South Carolina Assemblies of God
Authorization Release/Disciplinary Clause
I understand that participation in camp activities with the South Carolina Assemblies of God Camp brings with it a certain amount of risk. I acknowledge and accept the risks of physical injury associated with participation in the activities (including extra activities of paintball and tubing) described in the camp registration. Should there be any activity for which I wish for my child to abstain from, I will notify the South Carolina Assemblies of God Camp in writing at the time of registration. In consideration of the risks involved, I understand that the South Carolina Assemblies of God Camp and River Oaks Retreat Center have taken the necessary precautions to ensure my safety and well being. I hereby release and waive any and all claims against the South Carolina Assemblies of God Camp, River Oaks Retreat Center, and its staffs arising from my participation in the South Carolina Assemblies of God Camp. I also release and waive all personal financial responsibility for any injury or loss sustained during the activities and hold both the South Carolina Assemblies of God (and its representatives), and River Oaks Retreat Center harmless for such injury or loss arising directly or indirectly from said activities.
The health history included in this application is correct as far as I know and the person herein described has permission to engage in all prescribed activities, except as noted by the physician and me. IN CASE OF EMERGENCY, I hereby give permission to the physician to secure proper treatment, including hospitalization, urgent care centers, anesthesia, surgery, or injections of medication for myself. I hereby give my consent, for the administration of any treatment deemed necessary by the appropriate licensed physician, nurse, dentist or emergency personnel. I also give permission for the Camp Nurse to administer over the counter medication to me as deemed necessary according to dosing guidelines and attend to any other necessary healthcare means.
I also hereby understand that if I refuse to adhere to the camp rules and policies listed herein, I may be asked to leave. I also hereby give permission to the camp team leader and/or other member of the camp staff to inspect the contents of any or all of my personal belongings, and to withhold and/or dispose of any improper or illegal contents. I also hereby give permission for myself to be transported off grounds to participate in the recreation activities of the camp program.
If a dispute over this agreement or any claim for damages arises, the participant (or parent/legal guardian) agrees to resolve the matter through a mutually acceptable arbitration process.