Day camper registration – Trinity Lutheran Bible Camp

Name *

Grade Now Completing *

Sex *MaleFemale

Birthdate *

Cabin Mate Choice(someone you would like to be in the same group)

Favorite Camp Song

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Parent 1

Name *

Phone *

Can You Receive Text Messages at this Number? *YesNo

Email Address *

Parent 2

Name

Phone

Can You Receive Text Messages at this Number? *YesNo

Additional Information

Picture and Liability Release

Parent/Guardian Verification *I verify that I am the legal Parent or Guardian of the Applicant

Picture Release *YesNoAt Trinity Lutheran Bible Camp, we often take pictures of our Participants. We would like your permission to use pictures of your child on our Church website and other publications to advertise and promote Trinity Lutheran Bible Camp on social media. Would you be willing to allow Trinity Lutheran Bible Camp to use photos? Please note that due to the current Social Media climate we are not able to prevent other participants or family members from sharing their own photos that may contain your child.

Release *I, (parent/ guardian name), hereby give permission for the children in my household to participate in Trinity Lutheran Bible Camp (TBLC). This notification is intending to be legally bound hereby, the undersigned agrees and does hereby release from all liability and to indemnify and hold harmless Trinity Lutheran Church as regards to the scheduled participation of Trinity Lutheran Bible Camp. The undersigned further agrees to abide by the safety guidelines, rules, and regulations as stated by TLBC, and I/we recognize that there are certain inherent risks associated with camping and activities. I/we assume full responsibility for any personal injury to myself or my family members. I/we further release and discharge Trinity Lutheran Church and Trinity Lutheran Bible Camp for injury, whether caused by the fault of myself or my family, TLBC, or third parties. I/we hereby release, discharge, and covenant not to sue TBLC or its host congregation Trinity Lutheran Church Olympia, its employees or volunteers from all liability, claims, demands, losses, or damages on my/our account. I/we have read this document and understand that by signing the release, I/we voluntarily surrender certain legal rights and acknowledge reading, understanding and agree with the terms and conditions, guidelines, waiver, and release form.Please read the above waivers and agreements carefully. They include release of liability and waiver of legal rights and deprive you of the ability to sue certain parties. By agreeing electronically, you acknowledge that you have both read and understood all text presented to you as part of the registration process.

Electronic Signature *By entering my name below, I assert that I have reviewed and agree to all the waivers and agreements I selected above.