Camper's Name
Mom's Name
Mom's Cell
Dad's Name
Dad's Cell
Home Address
Email Address
Dates for Camp
Will you use bus service
Swimming Ability
Height/Weight
Sex at birth
Allergies or Health Comments
PARENT OR GUARDIAN’S AGREEMENT WITH SEEK ADVENTURES LLC:
STATEMENT OF RISK INVOLVED WITH OUTDOOR ACTIVITIES:
Seek Adventures, LLC does not carry medical insurance for campers. Seek Adventures LLC will attempt in every way to provide a safe environment for campers and staff. Great care will be taken to insure the total well being of each camper. However, outdoor activities such as rock climbing, ropes courses, canoeing, swimming, kayaking, backpacking, running games and a wide variety of other activities and transportation to and from activities do involve an unknown amount of risk. These risks could include, but are not limited to, inclement weather, natural hazards, human error or mechanical malfunction of equipment and road hazards; possibly resulting in, but not limited to, being struck by lightning, poisonous snake or spider bites, parasites, poison ivy, falling trees or limbs, hypothermia, bruises, cuts, broken bones, drowning, loss of use of body members or death.
A. SAFETY RISKS INVOLVED WITH OUTDOOR ACTIVITIES AND TRANSPORTATION: I agree that there are safety risks involved with outdoor activities such as those in which my child will be engaged while at camp with Seek Adventures LLC. I have read the statement of risk above and am aware of the risks involved with this camp and I am willing to allow my child to participate even though these risks exist. Further, I am aware of safety risks involved with the transportation of my child to and from these activities and I am willing to allow my child to be transported by Seek Adventures LLC, even though these risks exist.
B. ACCEPTANCE OF RESPONSIBILITY: I agree to accept and assume all risks existing in these activities. By my acceptance of the risks of these activities, I agree to be solely responsible for any injuries or sickness my child may incur while at camp with Seek Adventures LLC. I also agree to hold blameless Seek Adventures, LLC for any injuries or sickness.
C. PAYMENT FOR MEDICAL ATTENTION: I agree to be responsible for the cost of any medical attention, including emergency transportation, my child needs as a result of any injuries or sickness my child may incur while at camp with Seek Adventures LLC.
D. PARTICIPATION PARAMETERS: Being a camper with Seek Adventures is a privilege not a right. Campers must meet certain behavioral standards in order to be part of the program. If a camper is believed to be putting others or himself in danger or if the camper's behavior is deemed unacceptable in any other way, the camper will be sent home without any refund of camp fees. Further, I agree that if the information in this application is found to be incorrect or misleading, the camper will be sent home without any refund of camp fees.
E. REFUND POLICY: Full refund less $50 is available up to 30 days before session start date. Half cost is available up to 10 days before session start date. No refund within 10 days of session start date.
F. APPLICATION PROCESS: I understand Seek Adventures LLC accepts campers by application process and that not all applicants may be chosen to attend camp sessions. I agree Seek Adventures LLC has the right to deny an applicant without any specified reason.
I as parent or legal guardian of the above named camper have read, understand and accept the terms of this agreement as outlined in A, B, C, D, E and F above. Further, I confirm all information in this application is accurate and truthful. If yes, enter "yes"
Full name of parent or legal guardian
Date