I have read the above information, confirm that I agree with ALL rules, requirements and conditions INCLUDING assuming risks for myself and my camper. I also release the camp of liabilty. Understanding this I wish to continue with registering my camper

  • Register and Pay before the start of this camp. Deposits are non-refundable but will apply to your camp fee.


The campers will be supervised and if serious illness or injury develops, medical and/or hospital care will be provided. I further understand that in case of serious injury or illness, I will be notified. If it is impossible to contact me, I give permission for emergency treatment or surgery as recommended by the attending physician. I have read and understand the above information.

Assumption of the Risk and Waiver of Liability Relating to

Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to
spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and
have, in many locations, prohibited the congregation of groups of people.

Mississippi Valley Christian Service Camp - MVCSC-WIMVCSC has put in place preventative measures to reduce the spread of COVID-19; however, MVCSC cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending camp could increase your risk and your child(ren)’s risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Mississippi Valley Christian Service Camp - MVCSC-WIMVCSC and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the camp may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Mississippi Valley Christian Service Camp - MVCSC-WIMVCSC employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the camp or participation in camp programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Camp its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Camp, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Camp program.

$0.00
$0.00


Billing Information

  • Visa
  • Mastercard
  • American Express
  • Discover
RegFox Event Registration Software