SUMMER CAMP 2025 -July 20-24, REGISTRATION FORM-Jupiter SDA Church 17778 103rd Terrace N. Jupiter FL 33478

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GOing and Growing with JESUS
Matthew 28:18-20
And Jesus came and spoke to them, saying, “All authority has been given to Me in heaven and on earth. 19.GO therefore and make disciples of all the nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit,  20.teaching them to observe all things that I have commanded you; and lo, I am with you always, even to the end of the age.” Amen.
JULY 20-24 6PM-8PM (Check in starts at 5:30PM)
REGISTRATION DEADLINE July 2nd 
(One Registration Form Per Child)
Select two camps you would like to experience.  Each camp will last two days. 
Please select all that apply.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Allergies: Prior to, or at registration, participants must notify the staff of any food allergies or special needs. Parent/Guardian accept responsibility for notifying the staff of any food allergies or special needs.

In conjunction with the below Accident Waiver and Release of Liability Form, Parent/Guardian agrees to indemnify and hold harmless Jupiter Seventh-day Adventist Church and all associated persons, volunteers, from and against any loss, damage, claim, suit, liability, demand, cost and/or expense, paid or incurred by Jupiter Seventh-day Adventist Church (including attorney’s fees, court costs and disbursements) caused in whole or in part, by, or arising directly or indirectly out of this section. NOTE: We cannot guarantee that all food products used are free of nuts.

ATTIRE: Class participants are required to wear closed toe shoes. It is recommended that shoes be rubber- soled and/or non-slip. Short sleeves are preferred. Long hair should be tied back. No loose jewelry, dangling earrings, bracelets or necklaces should be worn. 

SANITATION: Proper hand washing with warm water and soap is required after using the bathroom, sneezing, coughing or handling raw food products. Hand washing is the single most important activity that can be done to prevent food- borne illnesses.

STUDENT RESPONSIBILITIES: Students are expected to show respect for others, follow directions from teachers and staff, and abide by all class rules.

ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM 

ACKNOWLEDGEMENT OF RISKS BY PARENT/GUARDIAN:
 

I CERTIFY THAT I AM THE PARENT/GUARDIAN OF THE AFOREMENTIONED CHILD.

I HEREBY ASSUME ALL OF THE RISKS OF MYSELF AND CHILD’S PARTICIPATION IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

I certify that myself and child are prepared for this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons, allergies or problems which preclude myself or child’s participation in this activity.


I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which myself and child may participate, and that it will govern myself and child’s actions and responsibilities at said activity.
 In consideration of my application and permitting myself and child to participate in this activity, I hereby agree and understand as follows:


 A.  I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to myself or child including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: Jupiter Seventh-day Adventist Church and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers.



B.  INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any, and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.



I acknowledge that Jupiter Seventh-day Adventist Church and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.



I acknowledge that this activity may involve a test of a person's limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, facilities, temperature, weather, condition of participants, equipment, lack of hydration, allergies, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers.
I hereby consent for myself and child to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. 


I understand while participating in this activity, myself and child may be photographed. I agree to allow myself and child’s photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.         


Please select all that apply.
Please select all that apply.
$20 Per Child Per Week 
Suggested Donation Click Here 
Online Giving (Children/Youth)
THANK YOU

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