• Cost includes program, lodging, and four meals.

  • DAY-RATE ONLY. Cost includes program and four meals, no lodging.

Emergency Contacts

Restrictions

Agreements

a) ALL cancellations require a $25 handling fee.
b) No refund can be given after the start of a CCCA-sponsored camp, conference, or retreat event
for any reason (i.e., if a camper leaves earlier than the last scheduled day of the event).
c) No refund given for a Camper who fails to show-up (i.e., is a no-show) on the day or evening that a CCCA-sponsored camp, conference, or retreat event begins.
d) Refunds can only be offered when cancellation occurs at least 10 days prior to the beginning of the scheduled event. Exceptions may be granted for family emergencies.
a) Masks and vaccinations are strongly encouraged but not required.
b) If a participant begins to exhibit symptoms of COVID-19, the participant may be required to take a COVID-19 test.
c) If a participant tests positive for COVID-19, they will be asked to leave the event and will not be allowed to return until 5 days have passed or they have achieved a negative test result.
d) In case of COVID-19 exposure at a CCCA camp, all participants and parents will be notified within 24 hours of the discovery of exposure.
I understand and acknowledge that playing, practicing, or participating in any sport, beach time, or other activity can be dangerous and involves risks of injury to my body, my property, and others. Nevertheless, I wish to participate in the activity described above.

In consideration of my being allowed to do so, I, and on behalf of my heirs, estate, executor, administrator, and assignees, hereby voluntarily and absolutely release and discharge The Christian Church Conference Center and its management, employees, and volunteers, the Christian Church Capital Area (CCCA) Board and its Officers, and the Conference Center Management Committee and its members and its constituent organizations and their trustees, officers, directors, agents, representatives, volunteers and employees, from any and all losses, damages, liability, demands, claims, actions or causes of action for personal injury, property damage, or wrongful death that I may suffer as a result of my participation in the abovementioned activity or my use of facilities or equipment related to the above-mentioned activity, whether or not such injuries or damages are caused by the negligence (direct or indirect) of any of the entities, individuals listed above or other participating individual.

I hereby warrant and represent that I am physically fit and capable of taking part in such activity. I make this warranty and representation on the basis of recent advice given to me by a duly licensed medical doctor, and I know of no change in my medical condition since receiving such advice that would affect the opinion of said medical doctor.

I agree to abide by the rules and regulations governing the above-described activity and to obey any instructions given by the person or persons having supervision and control over the above-referenced activity. I, and on behalf of my heirs, estate, executor, administrator, and assignees, agree to indemnify and hold harmless the CCCA and its trustees, officers, directors, agents, representatives, volunteers or employees from and against any and all claims, costs, expenses, liabilities, losses, damages, injunctions, suits, actions, fines, penalties, demands or causes of action of every kind or nature whatsoever arising out of my participation in the above-described activity, and under no circumstances will present any claims against said organization and said persons for personal injury, property damage or wrongful death.

I warrant and represent that I am sufficiently covered by a health insurance policy and I agree to rely on it exclusively to address any injury or illness that I may incur.

By signing below, I warrant and represent that I am eighteen years of age or over, and am fully aware of and understand the terms and legal consequences of signing this Waiver and Release. I intend this waiver and release to be a complete and unconditional release of all liability to the greatest extent allowed by law.

I (We) the Parent(s)/Guardian(s) give permission for my(our) above-named Child to engage in the Planned Activities which may be sponsored in whole or in part by the Christian Church Capital Area (CCCA) for the Inclusive Dates. I (We) understand that there are numerous risks associated with participation in any youth indoor/outdoor, athletic, beach, and social activity including bodily harm, injury or property damage. I (we) further understand that such injury or damage may be caused by intentional or unintentional acts or events arising from circumstances or individuals over which the CCCA has only limited control or no control whatsoever.

In consideration for the privilege of allowing my (our) Child to participate in the Planned Activities, I (we), and on behalf of my (our) Child, our heirs, estate, executor, administrator, and assignees, agree to release, hold harmless, defend and indemnify the CCCA, the Christian Church Conference Center and its management, employees, and volunteers, the Christian Church Capital Area Board and its Officers, and the Conference Center Management Committee and its members, its trustees, officers, directors, agents, representatives, employees and volunteers, from and against any and all losses, damages, demands, liability or responsibility for bodily injury, damage or illness to my (our) Child arising out of his or her participation in any youth indoor/outdoor, athletic or social activity which may be directly or indirectly sponsored by the CCCA.

Further, I (we), and on behalf of my (our) Child, our heirs, estate, executor, administrator, and assignees, agree to indemnify, release and hold harmless the CCCA, its trustees, officers, directors, agents, representatives, employees or volunteers, from and against any and all claims, costs, expenses, liabilities, losses, damages, injunctions, suits, actions, fines, penalties, demands or causes of action of every kind or nature whatsoever asserted by, or on behalf of, my (our) Child in connection with bodily injury, illness, or damage as a result of my (our) Child participating in any youth indoor/outdoor, athletic or social activity which may be directly or indirectly sponsored by the CCCA.

This release and waiver also covers dispensing medication as I authorize below. Should my (our) Child require immediate or emergency medical care while engaged in an activity sponsored by the CCCA, in my (our) absence, I (we) hereby grant the CCCA authority to release my (our) Child for medical treatment to such medical personnel as the CCCA determines appropriate under the circumstances.

I (we) understand that with respect to any injury or illness that may occur in the course of the Planned Activities, I am (we are) solely responsible for making health insurance coverage available to my (our) Child. I (we) agree to provide sufficient health insurance coverage for my (our) Child and will rely on it exclusively to address any injury or illness that he or she may incur.

By signing below, I (we) represent that I am (we are) fully aware of and understand the terms and legal consequences of signing this Waiver and Release. I (we) intend this waiver and release to be a complete and unconditional release of all liability to the greatest extent allowed by law.

I authorize the making of photographs, motion pictures, videotapes, recordings, or other memorializing of the above-described activity and my participation, and consent to their publication and all other uses. Further, I waive any right to compensation or any other right that I otherwise might have to limit or control such making or use.

I authorize the making of photographs, motion pictures, videotapes, recordings, or other memorializing of the above-described activity and my child's participation, and consent to their publication and all other uses. Further, I waive any right to compensation or any other right that I otherwise might have to limit or control such making or use.

Medical Form

Please complete and submit this Minor Medical Form. This MUST be submitted by the start of the event or your child will not be allowed to attend.

I have completed and submitted the 2024 Minor Medical Form.

Give the gift of registration with a voucher for a friend

We will send an email with the voucher code.


$3.00
$3.00
$3.00



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