ATTENDEE CATEGORY *

The information below is required for all attendees AND for parents/legal guardians who will be dropping off their children (under 18). ****All attendees 18 and over should sign the release form for themselves. MSCC will email you releases for all of the adults in your group to complete separately.****

I am an attending Parent/Legal Guardian registering for myself and my child(ren).

I am a non-attending Parent/Legal Guardian registering for my child(ren)

I am an Adult registering for myself (18+)

Counselor

Speaker

Name *

Name of Attendee. or Adult Family Member (Parent/Guardian of children attending without parent)

First Name

Last Name

Gender *

Female

Male

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

1. Name of Attendee

First Name

Last Name

1. Gender

Female

Male

1. ATTENDEE CATEGORY

Please List Age. ****All attendees 18 and over should sign the release form for themselves. MSCC will email you releases for all of the adults in your group to complete separately.****

Adult (18 and over)

High School (9-12)

Middle School (5-8)

Elementary (1-4)

Kindergarten

Under 5

2. Name of Attendee

First Name

Last Name

2. Gender

Female

Male

2. ATTENDEE CATEGORY

Please List Age. ****All attendees 18 and over should sign the release form for themselves. MSCC will email you releases for all of the adults in your group to complete separately.****

Adult (18 and over)

High School (9-12)

Middle School (5-8)

Elementary (1-4)

Kindergarten

Under 5

3. Name of Attendee

First Name

Last Name

3. Gender

Female

Male

3. ATTENDEE CATEGORY

Please List Age. ****All attendees 18 and over should sign the release form for themselves. MSCC will email you releases for all of the adults in your group to complete separately.****

Adult (18 and over)

High School (9-12)

Middle School (5-8)

Elementary (1-4)

Kindergarten

Under 5

4. Name of Attendee

First Name

Last Name

4. Gender

Female

Male

4. ATTENDEE CATEGORY

Please List Age. ****All attendees 18 and over should sign the release form for themselves. MSCC will email you releases for all of the adults in your group to complete separately.****

Adult (18 and over)

High School (9-12)

Middle School (5-8)

Elementary (1-4)

Kindergarten

Under 5

Arrival Date for You and/or Your Group *

Camp starts Thursday, August 1, 2024. Onsite registration begins at 10:00 am

MM

DD

YYYY

Arrival Time *

Hour

Minute

Second

AM PM

Departure Date for You and/or Your Group *

Camp ends Sunday, August 4, 2024 at 2:00 pm

MM

DD

YYYY

Departure Time *

Hour

Minute

Second

AM PM

PERMISSION, RELEASE, AND AGREEMENT TO ABIDE BY MSCC AND CAMP GREEN MEADOWS GUIDELINES AND RULES Please read and check all boxes below to accept. All attendees 18 and older must sign a release that MSCC will email you upon registration. Parents or legal guardians of minor campers must sign on behalf of their own children. *

I understand that the Muslim Society of Central California (MSCC) will make the utmost attempt to safeguard all persons attending camp and agree that an important component of safety is camper compliance with all applicable laws, rules, and guidelines. I agree that my family, including my children, and I will abide by all applicable laws and regulations, Camp Green Meadows and MSCC rules, regulations, and policies, including those listed in the camp program and communicated by camp staff and volunteers. For the duration of the camp, I agree to inform the camp director and registration prior to leaving the camp or taking my children from the campground. ***I understand that MSCC and/or Camp Green Meadows reserve the right to refuse or terminate the attendance of any camper for failure to abide by their rules and guidelines. If any person is asked to leave, there will be no refunds.***

REPAIRS / REPLACEMENT *

I agree to reimburse MSCC and/or Camp Green Meadows for repairs or replacement, if necessary, to camp facilities when that damage is caused by me or by a member of my family, including my children, except when such damage is caused by normal wear and tear.

EMERGENCY HEALTH CARE *

I give permission to camp medical personnel to provide routine or emergency health care; to administer medications; to release any records necessary for insurance or emergency purposes; and to provide or arrange necessary related transportation for me and/or my child. In the event I cannot be reached or am incapacitated in an emergency, I hereby give permission to camp medical personnel to secure and administer treatment, including hospitalization.

COVID-19 *

I understand that all staff and campers are encouraged to be fully vaccinated and boosted against COVID-19 and that campers experiencing COVID-19 symptoms should not attend camp and stay home. I consent to COVID-19 testing for myself/my child in cases where MSCC determines that testing is appropriate. I understand that MSCC reserves the right to send home those with symptoms consistent with COVID-19 and the cost of leaving camp will be borne by those being sent home and that registration fees will be forfeited.

CAMP ACTIVITIES *

I agree to participate and/or authorize my children to participate in any and all camp activities, including possible activities involving animals, water sports, and archery. I understand that participation in an outdoor camp and its related activities can expose me to dangers both from known and unanticipated risks. Acknowledging that such risks exist, I hereby release and discharge Camp Green Meadows, MSCC, and their officers, agents, employees, and volunteers from any and all claims or liability for personal injury, theft, or property damage I may suffer while attending the camp and participating in camp activities.

PHOTOGRAPHY *

I grant permission to MSCC and its representatives the right to produce photographs and video taken of my child, myself, and members of my family while at camp for any lawful purpose including publication, promotion, advertising, or historical archive. I release MSCC and its representatives from liability for any claims relating to said images or video. I waive my right, my child’s rights, and my family’s rights to any and all compensation stemming from the use of these materials. I acknowledge that campers may not share publicly any photos from camp where the photographer has not received explicit permission from either all of the individuals in the photo or from MSCC.

ALTERNATIVE TRANSPORTATION *

I understand that parents/guardians are responsible for arranging transportation to and from the camp for their children and that I am responsible for notifying the camp director and registration if I designate another adult to pick up my child and to provide the name of that adult.