* required

First and Last Name(s) of Those Attending (Including Maiden Name):

*Please be sure to add the number of additional registrants that will be attending at the bottom of this form, in the "Options" section.

Attendee 1 (Your Name)

Attendee 2

Attendee 3

Attendee 4

Additional Attendees

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Camp Information

Are you a former Camper?

Yes No

Are you a former / current Camp Volunteer?

Yes No

What program(s) did you attend?

What year(s) did you attend?

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Contact Information

Phone Number:

Email Address:

Street Address:

City, State, Zip Code:

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PHOTO/AUDIO-VISUAL/ MEDIA RELEASE

I hereby grant permission to participate in any audio-visual event (including photos and videos for future Camp use) that may take place in regard to this program and release Camp Good Days and Special Times, Inc., and everyone involved of any liability or claims in association with the media coverage if such takes place.

* I agree to the terms of the Photo / Audio Visual / Media Release

 

PERMISSION SLIP / WAIVER

I hereby grant permission to participate in the 2019 Camp Good Days and Special Times, Inc. 40th Reunion Weekend.

* I agree to the terms of the Permission Slip Waiver

 

WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

I hereby release, waive, discharge and covenant not to sue Camp Good Days and Special Times and its officers, directors, servants, agents and employees from all liability, costs, expenses and claims, demands, actions and causes of action whatsoever arising, that may be sustained by me, or to any property belonging to me, whether caused by negligence of Camp Good Days or otherwise. I am fully aware of the risks and hazards, known and possibly unknown to me, associated with being on the Premises and participating in the Camp. I hereby elect to voluntarily enter upon the Premises and participate in the Camp and assume full responsibility for any risks of loss, property damage, or personal injury, that may be sustained by me, or any loss or damage to property owned by me, as a result of my being a participant in the Camp, whether caused by negligence of Camp Good Days or otherwise

* I agree to the terms of the Waiver of Liability and Hold Harmless Agreement