Camper Registration

Camper Registration

This form must be completed by the campers parent or guardian if the camper is under the age of 18.

One form per camper.

If you have any questions, concerns or issues, please submit them through the message box provided at the end of the registration form.

You will be contacted by the Camp one (1) week before the camp begins.

    AUTHORIZATION TO TREAT I, , the parent/legal guardian of authorize and consent to emergency medical, surgical, hospital care, treatment and procedures to be deemed immediately necessary or advisable by emergency medical services. I waive my rights of informed consent to such treatment.

    HOLD HARMLESS I, , agree to release Colorado Elks Association Charity responsibility or liability regarding any possible injury/death that might occur during the Colorado Elks Association Youth Camp.

    PHOTO AND NON-CONFIDENTIAL INFORMATION RELEASE For valuable consideration received, I give the Colorado Elks Association Charity Youth Camp, the irrevocable right to use my picture, portrait or photograph in all forms, media and manners without restriction as to changes or alterations, for advertising, trade, promotion, exhibition, or any other lawful purposes. I waive any right to inspect or approve the photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photographs.