REGISTER AND PAY ONLINE

Grade entering in the Fall *
Current School *
 
How did you hear about this camp?
Cost of Boys Basketball Camp: $100 *

EMERGENCY CONTACT INFORMATION

MEDICAL INFORMATION

Does your child have any medical or special issues that we should be aware of: (allergies, Asthma, Diabetes) *
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.

Please sign below with your mouse, stylus or finger: *
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PERMISSIONS & AGREEMENTS

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: 

  1. 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.

  2. 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. 
  1. 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. 
  1. 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.