Camp Waiver 2021


Camper’s Name:

Age:

Sex:

Shirt Size:

Nickname:

Date of Birth:

Grade in School:

Address:


,

Parent(s) Name:
Phone:
Email*:

What campers are to bring: Bible, pen & paper, sheets or sleeping bag, pillow, towels, toilet articles, swimsuit, shower-shoes, flashlight, Insect repellent, and ball glove (if desired).

DRESS CODE: Comfortable clothing, bearing in mind those campers will be outdoors most of the day. Dress is to be modest for daily attire and reflect Christian values. No tank tops, mesh-tops or abbreviated shorts allowed. No shorts other than knee-length will be permitted. Tight revealing clothing of any kind is unacceptable.

Electronic devises are not allowed at camp, the camp is NOT responsible for loss, theft, or damage if such devices are brought and they are subject to confiscation till end of camp.

NEW! NEW! For swimming the board asks that ladies who wear a two piece swimsuit to swim in wear a shirt over it.

NEW!! NEW!! Remember, to get the reduced-price registration, applications must be received 14 days prior to the session attending AND submitted online!!! along with a $25.00 holding fee. (Waivers Now Done Electronically)

No Discount available for paper applications. Complete and mail this application to: Georgia Bible Camp Ministries Inc   PO Box 3605, Valdosta, GA 31604 Register ONLINE!! http://georgiabiblecamp.net/

* Sign-in & Cabin Assignments 3:00-5:00 P.M. on Sundays. Check with the director for day and time of pickup of campers.

** All counselors over the age of 18 must have a background check on file before attending camp! (See Camp Director for Details)

LICE CHECK-UP: For the health and consideration of children attending GBC, there will be mandatory head lice inspections for every child during check-in. Children found to have lice will not be permitted to attend camp.

Legal Agreement with Parent or Guardian It is necessary for parents to assume responsibility for the applicant.  Following is a legal agreement for this purpose that must be signed & returned as a part of the application process. In consideration of the acceptance of the applicant, we the undersigned parent(s) or guardian, as the case may be, covenant and agree with the  Georgia Bible Camp that we will at all times hereafter indemnify, keep indemnified and save harmless the Georgia Bible Camp, Hahira GA from all actions, proceedings, claims, demands, costs, damages and expenses which may be brought against or claimed from Georgia Bible Camp, Hahira, GA or which I may pay, sustain or incur as a result of unavoidable illness, accident or misadventure to the applicant during the period that said applicant is a participant in the Georgia Bible Camp, Hahira, GA.  I authorize the camp director to secure medical or surgical treatment as recommended by a physician for the camper’s well-being.  The camp nurse or local physician may treat any emergency that may arise while the camper is at Georgia Bible Camp in Hahira, GA. In submitting this signed application, the camper and parent or guardians agree to cooperate with the rules of the camp.  Disregard for the rules could result in the camper being sent home.

IMPORTANT:  Before each child who has had medical attention can be dismissed, parents must see the Nurse and sign the proper release forms.

 

COVID-19 Safety Acknowledgement--Liability Waiver and Release of Claims

 

COVID-19 SAFETY INFORMATION

While participating in events held or sponsored by Georgia Bible Camp Ministries, Inc., “social distancing” is encouraged, at all times to reduce the risks of exposure to COVID-19. Because COVID-19 can be spread mainly through person-to-person contact, Georgia Bible Camp Ministries has put in place preventative measures to reduce the spread of COVID-19 for the protection of your child, volunteers, and staff. However, Georgia Bible Camp Ministries cannot guarantee that those in attendance will not become infected with COVID-19.

Considering the ongoing spread of COVID-19, individuals who fall within any of the categories below should not engage in Georgia Bible Camp Ministries’ events and activities. By attending Georgia Bible Ministries, you certify that you do not fall into any of the following categories:

  1. Individuals who currently or within the past 14 days have experienced any symptoms associated with COVID-19, which include fever, cough, and shortness of breath among other symptoms.
  2. Individuals who have traveled at any point in the past 14 days either internationally or to a community within the U.S that has experienced or is experiencing a sustained spread of COVID-19.
  3. Individuals who believe that they may have been exposed to a confirmed or suspected case of COVID-19 or have been diagnosed with COVID-19 and are not yet cleared as non-contagious by state or local public health authorities or the health care team responsible for their treatment.

DUTY TO SELF-MONITOR

Participants, staff, and volunteers agree to self-monitor for signs and symptoms of COVID-19 (symptoms typically include fever, cough, and shortness of breath) and, contact Georgia Bible Ministries at georgiabiblecampInc@gmail.com if he/she experiences symptoms of COVID-19 within 14 days after participating or volunteering with Georgia Bible Ministries.

LIABILITY WAIVER AND RELEASE OF CLAIMS

I acknowledge that I derive personal satisfaction and a benefit by my participation and/ or volunteering with Georgia Bible Ministries, and willingly engage in Georgia Bible Miniseries events and activities.

RELEASE AND WAIVER

I HEREBY RELEASE, WAIVER AND FOREVER DISCHARGE ANY AND ALL LIABILITY, CLAIMS, AND DEMANDS OF WHATEVER KIND OF NATURE AGAINST GEORGIA BIBLE MINISERIES INC, INCLUDING EACH CASE, WITHOUT LIMITATION, VOLUNTEERS, AND STAFF (THE “RELEASED PARTIES”) EITHER IN LAW OR IN EQUITY, TO THE FULLEST EXTENT PERMISSIBLE BY LAW, INCLUDING BUT NOT LIMITED TO DAMAGES OR LOSSES CAUSED BY THE NEGLIGENCE, FAULT OR CONDUCT OF ANY KIND ON THE PART OF THE RELEASED PARTIES, INCLUDING BUT NOT LIMITED TO DEATH, BODILY INJURY, ILLNESS, ECONOMIC LOSS OR OUT OF POCKET EXPENSES, OR LOSS OR DAMAGE TO PROPERTY, WHICH I, MY HEIRS, ASSIGNEES, NEXT OF KIN AND/ OR LEGALLY APPOINTED FOR DESIGNATED REPRESENTATIVES, MAY HAVE OR WHICH MAY HEREINAFTER ACCRUE ON MY BEHALF, WHICH ARISES OR MAY HEREAFTER ARISE FROM MY PARTICIPATION WITHIN THE ACTIVITY.

ASSUMPTION OF THE RISK.

  I acknowledge and understand the following:

  1. Participation includes possible exposure to and illness from infectious diseases including but not limited to COVID-19. While particular rules and personal discipline may reduce the risk, the risk of serious illness and death does exist.
  2. I knowingly and freely assume all such risks related to illness and infectious diseases, such as COVID-19, even if arising from the negligence or fault of the Released Parties; and
  3. I hereby knowingly assume the risk of injury, harm, and loss associated with the activity, including any injury, harm, and loss caused by the negligence, fault, or conduct of any kind on the part of the Released Parties.

MEDICAL ACKNOWLEDGMENT AND RELEASE

 I acknowledge the health risks associated with the activity, including but not limited to transient dizziness, lightheadedness, fainting, nausea, muscle cramping, musculoskeletal injury, joint pains, sprains and strains, heart attack, stroke, or sudden death. I agree that if I experience any of these or any other symptoms during the activity, I will discontinue my participation immediately and seek appropriate medical attention. I DO HEREBY RELEASE AND FOREVER DISCHARGE THE RELEASED PARTIES FROM ANY CLAIM WHATSOEVER WHICH ARISES OR MAY HEREAFTER ARISE ON ACCOUNT OF ANY FIRST AID, TREATMENT, OR SERVICE RENDERED IN CONNECTION WITH MY PARTICIPATION IN THE ACTIVITY.

As a participant, volunteer, or attendee, You recognize that your participation, involvement, and/or attendance at the Georgia Bible Miniseries, Inc. event or activity is voluntary and may result in personal injury (including death) and/or property damage. By attending, observing, or participating in the activities, You acknowledge and assume all risks and dangers associated with your participation and/or attendance at the activity, and You agree that: (a) Georgia Bible Miniseries, Inc. (b) the property or site owner of the activity, and (c) all past, present and future affiliates, staff, and volunteers (a) through (c) collectively, the “Released Parties,” will not be responsible for any personal injury (including death), property damage or other loss suffered as a result of participating, attending, or observing the activity, regardless of any such injuries or losses caused by the negligence of any of the Released Parties (collectively, the “Released Claims”). BY ATTENDING AND / OR PARTICIPATING IN THE ACTIVITY, YOU ARE DEEMED TO HAVE GIVEN A FULL RELEASE OF LIABILITY TO THE RELEASED PARTIES TO THE FULLEST EXTENT PERMITTED BY LAW.

 

Date: April 17, 2024

 

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Camp Waiver 2021
lock iconUnique Document ID: 03e8f654f7795e462bf6c69e2fc29c12aca9fcd2
Timestamp Audit
April 20, 2021 4:54 pm EDTCamp Waiver 2021 Uploaded by Brian Leverett - georgiabiblecampinc@gmail.com IP 64.20.156.129
May 5, 2021 3:33 pm EDTBrian Leverett - georgiabiblecampinc@gmail.com added by Brian Leverett - georgiabiblecampinc@gmail.com as a CC'd Recipient Ip: 198.40.246.62
May 5, 2021 3:35 pm EDTBrian Leverett - georgiabiblecampinc@gmail.com added by Brian Leverett - georgiabiblecampinc@gmail.com as a CC'd Recipient Ip: 198.40.246.62
May 5, 2021 3:35 pm EDTJulio Chavez - julio@spyderserve.com added by Brian Leverett - georgiabiblecampinc@gmail.com as a CC'd Recipient Ip: 198.40.246.62
May 5, 2021 3:45 pm EDTBrian Leverett - georgiabiblecampinc@gmail.com added by Brian Leverett - georgiabiblecampinc@gmail.com as a CC'd Recipient Ip: 198.40.246.62
May 5, 2021 3:45 pm EDTJulio Chavez - julio@spyderserve.com added by Brian Leverett - georgiabiblecampinc@gmail.com as a CC'd Recipient Ip: 198.40.246.62
May 5, 2021 3:48 pm EDTBrian Leverett - georgiabiblecampinc@gmail.com added by Brian Leverett - georgiabiblecampinc@gmail.com as a CC'd Recipient Ip: 198.40.246.62