THRIVE CHEER CAMP

Student's First Name *

Student's Last Name *

Parent/Guardian Name *

Phone # *

Email Address *

Street Address *

City *

State *

Zip Code *

T-Shirt Size *

Grade *

Current School *

Other School *

Registration Fee: $100

Cancellations/Refund Policy: Due to limited space available, and the advance purchases of supplies/equipment, only cancellations received 72 hours prior to the start of the activity will receive a partial credit to your account. If there is an outstanding balance owed to CCS, the credit will be applied to the outstanding balance.

If there is a schedule change that CCS needs to make to enrichment classes and/or athletics because of an unavoidable situation, we will offer a combination of make-up sessions and/or refunds, depending on the specifics of the situation. This will be determined at the time by CCS.

100.00

CCS STATEMENT OF FAITH

We believe:

- in one sovereign and eternal God, revealed as Father, Son, and Holy Spirit (Ephesians 4:4-6, John 15:26-27).

- God created man in His own image, as male and female (Genesis 1:27).

- all of humanity is created equally in the image of God (Genesis 1:27).

- we were separated from God as a result of choosing sin, and those who believe have been restored by God's love through faith in the life, death, and resurrection of Christ (Romans 3:23, Romans 5:12-19).

- in the virgin birth and the deity of Jesus Christ, the only begotten Son of God, truly human and truly divine (Matthew 1:23, Colossians 2:9-10).

- salvation has been provided for all people through the loving and sacrificial act of Christ's death and resurrection, resulting in eternal life for all who believe, repent, and place their faith in God (Ephesians 2:8, John 3:16).

- in the spiritual unity of all believers, each of whom is an integral part of the church - the body of Christ (1 Corinthians 12:12-14, Ephesians 4:3).

- all believers are responsible to fulfill the Great Commission and make disciples of all people (Matthew 28:19-20, Acts 1:8).

- the Bible is the inspired Word of God - revealed to the world - and contains His plan of salvation and redemption for all of creation (2 Timothy 3:16-17, John 1:14).

- in the Second Coming of Christ and the fullness of salvation for eternity (Hebrews 9:28, Acts 1:11). At CCS, it is our purpose to partner with and serve families who desire a Christian education for their children.

I agree with the above statements.

EMERGENCY CONTACT INFORMATION

Name - Emergency Contact #1 *

Phone - Emergency Contact #1 *

Name - Emergency Contact #2 *

Phone - Emergency Contact #2 *

MEDICAL INFORMATION

Medical Insurance Company *

Policy # *

Does your child have any medical or special issues that we should be aware of (such as allergies, asthma, diabetes)? *

Description of medical issue(s)

PERMISSIONS & AGREEMENTS

In the event that the above listed parent/guardian cannot be reached, and in the judgment of the director or other staff member there is a necessity for immediate examination and/or treatment of my child/ward, please agree to the following terms:

MEDICAL TREATMENT/TRANSPORTATION
I hereby grant permission to Cascade Christian Schools to seek medical treatment for my child, in the event such treatment is deemed necessary and, for my child to be transported by an emergency vehicle to a medical facility for treatment.

HOSPITAL ADMISSION AND/OR PHYSICIAN’S CARE
I hereby consent to all medical and surgical treatment by the attending physician and to the administration and performance of all examinations, administering of medicine, treatments, anesthetics, operations, x-rays, blood tests, transfusions, suturing or other procedures, which may be deemed necessary for my child, during the stay at this hospital.

FINANCIAL AGREEMENT FOR MEDICAL TREATMENT
I hereby agree to accept responsibility for any financial indebtedness incurred during the hospitalization. I agree to pay for all necessary services at the current rate and in case of collection, pay a reasonable attorney fee and collection expense.

Release and Waiver of Liability Indemnity Agreement

Release and Waiver of Liability and Indemnity Agreement

In consideration for being permitted to utilize the facilities, services, and programs of the CCS for any purpose, including but not limited to observation or use of facilities or equipment, or participation in any program affiliated with the CCS, without respect to location, the undersigned, for himself or herself and any personal representatives, heirs, and next of kin, hereby acknowledges, agrees and represents that he or she has, or immediately upon entering or participating will inspect and carefully consider such premises and facilities or the affiliated program. It is further warranted that such entry into the CCS for observation or use of any facilities or equipment or participation in such affiliated program constitutes an acknowledgement that such premises and all facilities and equipment thereon and such affiliated programs have been inspected and carefully considered and that the undersigned finds and accepts same as being safe and reasonably suited for the purpose of such observation, use, or participation.

IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER THE CCS FOR ANY PURPOSE, INCLUDING BUT NOT LIMITED TO OBSERVATION OR USE OF FACILITIES OR EQUIPMENT, OR PARTICIPATION IN ANY PROGRAM AFFILIATED WITH THE CCS, WITHOUT RESPECT TO LOCATION, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:

THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the CCS, its directors, officers, employees, and agents (hereinafter referred to as “releasees”) from all liability to the undersigned, his personal representatives, assigns, heirs, and next of kin for any loss or damage, and any claim or demands therefor on account of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence of the releasees or otherwise while the undersigned is in, upon, or about the premises or any facilities or equipment therein, or participating in any program affiliated with the CCS, without respect to location.
THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releasees and each of them from any loss, liability, damage, or cost they may incur due to the presence of the undersigned in, upon, or about the CCS premises or in any way observing or using any facilities or equipment of the CCS or participating in any program affiliated with the CCS whether caused by the negligence of the releasees or otherwise.

THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE due to negligence of releasees or otherwise while in, about, or upon the premises of the CCS and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the CCS.

THE UNDERSIGNED further expressly agrees that the forgoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the State of and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no oral representations, statements, or inducement apart from the foregoing written agreement have been made.

Parent or Guardian: Type your initials in the box to indicate that you have read and agree to the above terms *

Parent or Guardian: I hereby give permission for my player to participate in all sport activities provided by Cascade Christian Schools. *

PHOTOGRAPHS:
We hereby give permission to Cascade Christian Schools to photograph our child(ren) for in-house pictures, snapshots of parties and special events, for publicity, or by an authorized studio. *

Cascade Christian Schools Concussion Awareness

Cascade Christian Schools believes participation in athletics improves physical fitness, coordination, self-discipline, and gives students valuable opportunities to learn important social and life skills. With this in mind it is important that we do as much as possible to create and maintain an enjoyable and safe environment.

As a parent/guardian or student, you play a vital role in protecting participants and helping them get the best from sport.

Player and parental education in this area is crucial, which is the reason for the Concussion Management and Sudden Cardiac Arrest Awareness information you are receiving.

Refer to it regularly. This form must be signed annually by the parent/guardian prior to participation in Cascade Christian Schools Athletics.

Concussion Awareness

A concussion is a brain injury, and all brain injuries are serious. They are caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with the force transmitted to the head. They can range from mild to severe, and can disrupt the way the brain normally works.

Even though most concussions are mild, all concussions are potentially serious and may result in complications including prolonged brain damage and death if not recognized and managed properly. In other words, even a “ding” or a bump on the head can be serious. You can’t see a concussion, and most sports concussions occur without loss of consciousness. Signs and symptoms of concussion may show up right after the injury, or can take hours or days to fully appear. If your child reports any symptoms of concussion, or if you notice the symptoms or signs of a concussion yourself, seek medical attention right away.

Symptoms may include one or more of the following:

* Headaches
* “Pressure in head”
* Nausea or vomiting
* Neck Pain
* Balance Problems or dizziness
* Blurred, double, or fuzzy vision
* Sensitivity to light or noise
* Feeling sluggish or slowed down
* Feeling foggy or groggy
* Drowsiness
* Change in sleep patterns

Signs observed by teammates, parents and coaches include:
* Appears dazed
* Vacant facial expression
* Confused about assignment
* Forgets plays
* Is unsure of game, score, or opponent
* Moves clumsily or displays incoordination
* Answers questions slowly
* Slurred Speech
* Shows Behavior or personality changes
* Can’t recall events prior to hit
* Seizures or convulsions
* Any change in typical behavior or personality
* Loses consciousness

PLEASE PRINT THIS PAGE FOR EASY REFERENCE

For current and up-to-date information on concussions you can go to: http://www.cdc.gov/headsup/youthsports/index.html

I HAVE RECEIVED, READ AND UNDERSTAND THE INFORMATION PRESENTED IN THE ABOVE CONCUSSION RECOGNITION SECTION.

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Sudden Cardiac Awareness

On July 24, 2015, Senate Bill 5083, also known as the Sudden Cardiac Arrest Awareness Act, became effective. The law mandates that ALL players and parent(s)/guardians annually read and acknowledge an informed consent form relating to the nature and risk of sudden cardiac arrest prior to the use of any school facilities in the State of Washington.

In order to participate in practices/games at school facilities you will need to acknowledge you and your player have reviewed the information pamphlet on sudden cardiac arrest awareness.

CLICK HERE TO REVIEW SUDDEN CARDIAC ARREST INFORMATION

I HAVE RECEIVED, READ AND UNDERSTAND THE INFORMATION PRESENTED IN THE SUDDEN CARDIAC ARREST AWARENESS FLYER.

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