Registration Camp 2: June 21 - 25
THANK YOU FOR YOUR PAYMENT!!
To complete your camper(s) registration, see below!
Please complete the form below for any campers you have paid for registration!
If you have MORE THAN ONE CAMPER: please enter the first campers info and press the submit button. After receiving a confirmation, hit the BACK BUTTON on your browser and change the information (ie: Name, Gender, Age, etc) for the next camper and press submit!
Repeat for as many campers as you have paid for a registration!!
| City of Jacksonville Beach - Hold Harmless Agreement | |||||||||||||
| Upon acceptance of this entry form, the participant and/or guardian hereby releases the City of Jacksonville Beach, its' agents, servants, or employees of all liability, injury, or damages whatsoever arising from participation of this event. The participant and/or guardian understands that there are certain risks involved with the sport of surfing and the participant assumes all risks | |||||||||||||
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to surfing and ocean-related sports. | |||||||||||||
| Epic Surf Ministries - Hold Harmless Agreement: | |||||||||||||
| I hereby certify that I am the parent or guardian of the camper on this application and do hereby give my permission without reservation and with full understanding and comprehension of the foregoing agreement to hold harmless EPIC Surf Ministries, Inc., the City of Jacksonville Beach, the employees and volunteers associated with EPIC Surf Ministries, Inc., and | |||||||||||||
| all other organizations and corporations affiliated with EPIC Surf Ministries, Inc. any and all liabilities including any such injuries which are alleged to have occurred as a result of negligent failure of EPIC officials and directors to properly supervise camp in the course of the week. | |||||||||||||
| Consent to Medical Treatment: | |||||||||||||
| I hereby authorize EPIC Surf Ministries, Inc., or any agent of EPIC to act on my child's behalf, should I be unable to do so and to consent to reasonable medical/dental care and treatment which may be deemed necessary for my child's medical well-being during the course of the week. This consent is given in advance of any specific diagnosis, treatment, surgery, or hospital care required, but is given to provide authorization and specific consent for medical/dental treatment and care in my child's behalf until I can be personally contacted. | |||||||||||||
| Surf Camp Liability Release - (applies only if 18years or older) | |||||||||||||
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In applying to EPIC surf camp, I understand that surfing can be very dangerous, and I may be injured while participating. I understand that there are certain risks involved with the sport of surfing and I assume all risks to surfing and ocean-related sports. I will further read and comply with all of the EPIC Surf Camp guidelines as outlined in the camp manual (to be received on day 1 of camp), and do understand that I may be removed from camp without refund for refusal to comply with the camp safety guidelines. I acknowledge that I have read and fully understand all of the above terms and conditions. | |||||||||||||
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Must be electronically initialed/signed below by a participant over 18 years old, or the legal parent or guardian of a participant who is a minor. | |||||||||||||