Summer Camp Sign-up | Impact East Texas

Camp Liability Waiver and Release Agreement In consideration of the acceptance of my application for the Impact East Texas Camp program, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to my child as a result of their participation in said camp program. This release is intended to discharge in advance the East Texas District of the Pentecostal Church of God, its officials, officers, employees, volunteers, and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assignees. Consent of the Parent or Guardian I give consent for my child to participate in the summer program, and I execute the above liability release on my child's behalf (for children under 18) or my own behalf (for students 18 or older). I have read and understood the foregoing registration liability release and parental consent form and agree to all terms and conditions.

Summer Camp 2023
Registration

Student Information

Parent Information

Church Information

Authorized Pick Up

Medical Information and Waiver

Allergies

Medications

Waivers and Releases

Parent signature or Student signature if 18 or over

If you are ordering a shirt please select your shirt size below. Shirts must be ordered and paid for no later than June 16. There are no refunds for shirts once order is placed.

Summer Camp 2023 Registration