All minors MUST fill out the following release form.

Minor’s Information

Parent/Guardian Information

Other Contact

Initials

The Participant(s) understands the following rules/regulations concerning participation in Mission Camp service and recreational activities: {1} NO MINOR may participate in ANY Mission Camp activity without a digitally initialed Release Form from a parent or legal guardian. {2} Any health issues, allergies, reactions, illnesses, medications, treatments, conditions, etc. relevant to the Participant(s) are to be reported in advance; any aforementioned health issues, etc. are to be reported SEPARATELY to the group leader responsible for overseeing the Participant(s) while at Mission Camp It is the responsibility of the ADULTS and GROUP LEADERS, NOT FCC Stillwater, to oversee and administer all medications, treatments, etc. to any Participant(s) from their group. Mission Camp and/or Staff will not be held responsible for administering or failing to administer any medication, treatments, etc. {3} The Participant(s) is in good physical condition and capable of participating in and completing various Mission camp activities. Mission offers a wide range of activities, including many high-risk and weapons-related activities such as lake activities, rock wall-climbing, swimming, high elements ropes course, low elements ropes course, etc., as well as transportation in vans, buses, and other vehicles to and from activities. {4} The Participant(s) wishes to be accepted for participation in all Mission cam- activities, and the Participant(s) acknowledges that some activities will necessarily involve participation in activities which are, by their nature, physically and mentally intense/demanding and subject to possible hazards, not all of which can be foreseen and prevented. The Participant(s) assumes all of the ordinary risks normally incidental to the nature of these types of recreation, including risks and possible injuries which are not foreseeable. {5} The Participant(s) hereby releases all rights and claims for damages against FCC Stillwater., and its various corporate associations, including its Staff, Directors, Volunteers, and all individuals assisting in instructing and conducting these activities, including the owners and lessors of premises used to conduct any and all activities, from all liability of any nature for any and all injuries, losses, or damages suffered by the Participant(s) at or in any way connected with these injuries, even if arising from the negligence of those persons aforementioned, except that which is the result of gross negligence and/or wanton misconduct. {6} In the event of an emergency, the Participant(s) does hereby authorize any X-ray, examination, anesthetic, dental, medical, or surgical diagnosis or treatment by any physician or dentist of any hospital service that might be rendered under the general, specific, or special consent of the Mission Camp Staff (in the absence of a spouse, Group Leader, or other group representative). The Participant(s) understands that each Participant(s) must provide his/her own health and accident insurance. In the event of an injury or medical need, expenses incurred will be the responsibility of each individual (private pay), individual personal insurance, or group insurance from the sponsoring group and Oakridge only thirdly. {7} The Participant(s) does hereby authorize and consent to the use of his/her visual image (obtained while on the property of or engaged in authorized activity with Oakridge Ministries) by FCC Ministries for appropriate purposes, including but not limited to: still photography, videotape, electronic and print publications and websites. I give this consent with no claim for payment. I have read this release of liability, fully understand its terms, understand that I have given up substantial rights by digitally initially it, and digitally initial it freely and voluntarily without any inducement.