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We are interested in providing the most beneficial summer for your child. In order to accomplish this, we would like to have as much information as possible.

In the event of an accident or special health needs, it will be necessary for us to have the requested information. Please make certain that all information provided is thorough and accurate.

AGREEMENT TO ATTEND, PARTICIPATE, ASSUMPTION OF RISK AND RELEASE OF LIABILITY

SHEKINAH RANCH hereinafter referred to as the “Camp” requires a signature for all attendees of the Camp and all participants of any camp activity including, but not limited to, Horseback Riding, Swimming Pool, Camping, Climbing Wall, Zipline, Paintball, Go Karts, Sling Shot, Mini-Golf, Fishing, Crafts, Basketball, Football, Volleyball, Candle Making, Campfires, Water and Field Recreation Games, Hiking, Square Dancing, Challenge-Course, Playground and any and all other camp and recreational sports and activities. Furthermore this form releases the Camp to photograph and/or record and use photographs/videos of myself or my child for use in its publications, advertising, promotional purposes, internet, and/or visual presentations which inform people of the services and activities of Camp. The signature provided confirms Agreement to Attend, Participate, Assumption of Risk, and Release Form in order to attend Camp and to participate in any Camp activity.

Attendance and Activities at Camp may include Adventure Trips such as caving, canoeing, high ropes, biking, and/or other rigorous physical adventure activities as well as exposure to the elements, exposure to animals, snakes and insects. Camp takes all reasonable precautions to ensure you a safe and enjoyable experience. Parts of the experience, by their nature, can be physically demanding and include varying levels of stress and anxiety, not all of which can be foreseen. The decision to attend the Camp and the decision to participate in any Camp activity at any level IS AT ALL TIMES COMPLETELY UP TO THE INDIVIDUAL’S CHOICE and with attendance at the Camp and participation in any Camp activity, there is a risk, which must be assumed by each attendee and by each participant. Although it is the Camp’s goal to maintain the physical, emotional and social safety of each attendee and participant of the Camp, the physical, emotional and social risks must be assumed by each attendee and participant.

"I understand that attendance at the Camp and participation in any Camp activity may be physically and emotionally demanding. I recognize the inherent risk of physical and/or emotional injury of attending Camp and participating in any and/or all Camp activities. I understand that each participant must assume the risk of any injury, physical and/or emotional, and any financial responsibility that could result from attending Camp and participating in any Camp Activity. I agree to assume such risks and such responsibility. I, on my behalf, and on behalf of my heirs and assigns, hereby release, indemnify and hold harmless Shekinah Ranch from any and all claims, physical and emotional, including bodily injury, that I may have that may be sustained in connection with my attending Camp and with my participation in any or all Camp activities."

If you feel that there are any activities in which you or your child should not be involved in, please describe for us on an attached sheet the activities (include name and church/group name on the attached sheet). I understand the directors of Shekinah Ranch reserve the right to dismiss, without refund, any camper whose influence is detrimental to the operation of the camp, as determined by the discretion of the directors. I understand that the use of alcohol, tobacco products, and illegal drugs is strictly prohibited at all Shekinah Ranch programs. I have read this complete document and I understand the information contained herein. I have freely and voluntarily signed this document.

If you wish to change your child's registered week to another week, we can do that for no additional charge BEFORE JUNE 1 (Subject To Availability). After that a $10.00 fee assessed for a changed week.

Fee includes all meals while at camp, housing, use of all recreational equipment and facilities, instruction in activities, and awards.

Fee does not include transportation to and from the ranch and purchases.

There is a $5.00 processing fee for the following online transaction that will appear in your shopping cart at checkout

I have read all of this application form, and have viewed the Conditions of Enrollment, Medical Information and Release of Liability and I hereby accept these conditions of enrollment.