Senior High Retreat
Nov 2nd-4th (for 6th – 12th Grade)
Theme: Celebrate The Goodness in All of Us
Directors: Tom Grubaugh
Registrar: Shawnna Thomas, 115 Heckathorne Road, Painesville, OH 44077
IF CHOOSING TO REGISTER ONLINE PLEASE NOTE: All payments and health forms must be brought to retreat/camp. If you prefer to fill out a registration form by hand, please see the forms below. All forms must be submitted no later than 1 week prior to retreat/camp. Please contact the director for additional information.
Costs: Because we want everyone to attend retreats and camps, registration fees are as follows (please remit check payable to EGLMC):
1) $70 per youth registration fee
By completing an online registration you agree to the terms as follows:
Permission for Medical Treatment
I/We, the parent(s), legal guardian, or next of kin, hereby authorize any necessary medical treatment for this/these applicant(s) I/We, also guarantee payment of all charges incurred during this medical treatment.
In consideration of the right of the applicant(s) to participate in this event, I/We, give consent to and authorize the taking of photographs or video tapes in which the applicant(s) may appear. I/We, waive all right of privacy in and to any said photographs or videotapes.
Activity and Transportation Consent
I/We, understand that some activities involved in by this camp may require travel to other locations. All transportation during this youth camp will be provided by camp staff or people designated by them. All drivers of vehicles will be appropriately licensed and over the age of 21. I/We, understand that most transportation will be done in privately owned vehicles that are in good condition and considered. I/We, understand and specifically consent to the applicant(s)’ participation in this event. I/We, certify that the applicant(s) has the necessary skills to participate in any of the approved activities (e.g., if boating is approved, the camper can swim).
As parent, legal guardian, or next of kin, acknowledges that even though every effort is made to provide a safe, accident-free environment, incidents may occur. In consideration for being accepted by the Eastern Great Lakes Mission Center, Community of Christ for participation in this event, I/We, being 21 years of age or older, do on behalf of our child participant, hereby release forever, discharge, and agree to hold harmless the camp, the Community of Christ, and the directors thereof from any and all liability, claims, or demands for personal injury, sickness, or death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in this event. Furthermore, I/We, on behalf of our child-participant, hereby assume all risk of personal injury, sickness, death, damage, and expense as a result of participation in recreating and work activities involved therein. Further, authorization and permission is given to said organization to furnish any necessary transportation, food, and lodging for this participant. The undersigned further agrees to hold harmless and indemnify said organization, its directors, employees, and agents, for any liability sustained by said organization as the result of negligent, willful, or intentional acts of said participant, including expenses incurred attendant thereto.
By submitting this online form you as the parents of this child, agree to the terms and release as stated above.
I understand that, if any information I/we have provided is found to be inaccurate, it may limit and/or eliminate the opportunity for participation in any event or activity