Apple Valley | Winter Camp 2019

Child

50.00% Complete
/ /
Completed registration and a $50 non-refundable deposit is required for your student to be registered for Winter Camp
The remaining camp balance is due on or before Sunday, December 16th, 2018. If this payment is not received your student will be dropped from the camp roster.
If, after signing up, your student is unable to attend camp, you are held responsible for the full balance of the trip if the spot is not filled by someone else. Please contact the Student Ministries Dept as soon as you are aware.
Checks are deposited within one week of the issue date. WE CANNOT ACCEPT A POSTDATED CHECK.
I, the undersigned, give permission for my son or daughter to participate in the activities of High Desert Church. I grant this permission with full knowledge that I accept full responsibility for any injury or accident that may occur. I assume all inherent risks and any other ordinary risks incidental to the nature of these activities which are not specifically foreseeable. I understand that this means I am personally financially liable for any injury that may happen during the course of activities, and the treatment thereof. Although High Desert Church has taken reasonable steps to provide safe activities, we remind you that these activities are not without risk. The same elements that contribute to the character of these activities can be cause of loss or damage to your property, accidental injury or illness or, in extreme cases, permanent trauma or death. We do not want to frighten you or reduce your enthusiasm for these activities, but we do think it is important for you to be informed and know in advance about inherent risks. I, on behalf of myself, my children, my assigns and my estate, agree to release and hold harmless High Desert Church, its officers, Board, agents or employees, for any and all claims for injuries, causes of action, or liability related to my child’s participation in any High Desert Church or High Desert Church related activity. This release does not apply to intentional and/or willful acts of misconduct by High Desert Church or any of its officers, Board, agents or employees. Should High Desert Church, or anyone acting on their behalf, be required to incur attorneys’ fees and costs to enforce this agreement, I agree to indemnify and hold High Desert Church harmless for all such fees and costs. By signing this document, I acknowledge that if anyone is hurt or property damaged during my or my child’s participation in these activities, I and/or my child may be found by a court of law to have waived any right to maintain a lawsuit against High Desert Church on the basis of any claim which has been released herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and agree to be bound by its terms.
I/We the parent(s)/guardian(s) of the above named do hereby authorize the person or persons representing the High Desert Church of Victorville, California as agents for the undersigned to consent to any x-rays examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under general or special supervision of, any physician or surgeon licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at office or said hospital.It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care required but is given to provide authority and power on the part of aforesaid agents to give specific consent to any and all such diagnosis, treatment and hospital care which the aforementioned physician in the exercise of his/her best judgment may deem advisable.This authorization is given pursuant to the provision of Section 25.8 of the Civil Code of California. This authorization is to be effective until it is revoked in writing to said agent.It is understood that parents or guardians are responsible to all costs not covered by church insurance.A photocopy of this consent is valid and may be used in place of the original.