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FAMILY CAMP ACTIVITIES

If you have questions about registration or need assistance, please contact our district secretary, Jeffery Johnson at 863-234-9996.

REGISTRATION

Who are you registering?
Myself (Adult)
My Family/Household
Teenager (Ages 13-17 registering individually)
Multi-line address

Parent permission for medical care and liability statement release will be sent to parent email for verification. This must be completed in order for a teenager to be present without a parent/guardian on site.

Build your own camp package. (Select all that apply) Please note: Children under 5 are free registration and free meal plan.
General Registration (per person)$85
Child Registration (ages 6-12)$42.50
Twin Dorm Room (2 Twins)(Total for 3 nights)$170
Queen Dorm Room (1 Queen)(Total for 3 nights)$170
Apartment (1 Queen & kitchenette) (Total for 3 nights)$225
Meal Plan (7 meals)(Wednesday dinner, Thursday-Friday breakfast, lunch, dinner)$60
Child Meal Plan (ages 6-12)(7 meals)(Same as adult)$30

Liability Waiver and Release of Claims

By myself and/or my child registering for and participating in this event, I acknowledge and agree to the following:

I understand that participation in camp activities, including but not limited to recreational events, group activities, and outdoor experiences, involves inherent risks, including the risk of personal injury, illness, property damage, or other unforeseen circumstances.

I voluntarily assume all risks associated with participation in this event. I hereby release, waive, discharge, and agree to hold harmless the Assemblies of the Lord Jesus Christ Florida District, as well as any affiliated churches, pastors, leaders, volunteers, staff members, and representatives, from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury, including illness or death, that may be sustained while participating in this event or traveling to or from it.

I understand that this release applies to any claims based on negligence, action, or inaction of any of the parties listed above, to the fullest extent permitted by law.

Medical Authorization

In the event of an emergency, I authorize event staff and designated leaders to obtain medical treatment for myself and/or my child as deemed necessary. I understand that I am responsible for any medical expenses incurred.

Media Release

I grant permission for photographs and/or video recordings taken during this event to be used by the Assemblies of the Lord Jesus Christ Florida District for promotional, ministry, or informational purposes, unless I indicate otherwise in writing.

Parental/Guardian Consent (Required for Minors)

If the participant is under 18 years of age, I certify that I am the parent or legal guardian of the minor listed in this registration. I give permission for my child to participate in all activities associated with this event and agree to all terms outlined in this waiver on their behalf.

By signing/typing my name below, I acknowledge that I have read, understood, and agree to this Liability Waiver and Release of Claims, and that this serves as my legal signature.

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SERVICE SCHEDULE

863-678-3961

info@namesake.org

34 State Road 60

Lake Wales, FL 33859

Sunday- 10:00AM

Adult Bible Study

Children's Sunday School

Sunday- 10:45AM

Worship Service followed by Preached Word

Wednesday- 7:00PM

Adult Small Groups

Youth Program

Contact us
Address

@ Namesake 2021

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