This is the email address where I will send all future camp communications.  Please make sure it is entered correctly, and also please make sure to adjust your email settings to allow future emails from my email address so they stay out of your spam/junk folders!

If you would like another parent or relative to also receive communications about the camp, please add a second email address here.  Otherwise, you may leave it blank.

Please list either one or both parents

Please provide a name and number to be contacted in case of emergency.  If this is the same as the parent name and phone number given above, you can just type "same"

If you would like to provide a second emergency contact name and number, please do so here.

Please provide the name of your health insurance provider, policy number, primary care physician name/phone number, and any other relevant information.

(Please list and describe your child's known allergies, disabilities, health conditions, or medications needed.  If there are none, please just type "none")

Typing your first and last name below will be considered your electronic signature indicating consent to the following statement:  "I understand that there are risks associated with participation in any history camp that requires travelling to other destinations and taking part in physical activities.  In consideration for the privilege to attend the camp, typing my name as an electronic signature indicates that I assume the risk of any injuries or transmission of communicable diseases that my child may sustain or perpetuate while participating in one or more of this year's 'Creswell Camps'.  Recognizing the possibility of physical injury associated and in consideration for Creswell Camps accepting the registrant for this camp, I hereby release, discharge, and/or indemnify and hold harmless Creswell Camps LLC, its directors, employees, chaperones, and associated personnel/volunteers, against any claim, loss, damage, or other disability arising out of my child's participation in this camp.  I further agree that Creswell Camps LLC, its directors, employees, chaperones, and associated personnel/volunteers are not responsible for any medical and/or dental expenses incurred as a result of my child's participation in this program.  I insure that my child is physically and mentally able to participate in any activities that are included in the camp itineraries, and that my child has been examined by a licensed medical physician within one (1) year prior to the start date of the camp.  I authorize the camp director, other adult staff member, or health care professional to start preliminary treatment and to arrange transportation for my child to a local Emergency Room or Urgent Care facility in the event that my child becomes ill or injured.  I understand I may be financially responsible for the cost of emergency assistance, transportation, and other medical costs.  I also understand that my child must conform to the rules and behavior expectations specified by the camp director, chaperones, and associated personnel/volunteers.  If my child is out of her/his room or cabin after the specified curfew time without a valid reason, my child will forfeit the remainder of her/his camp experience, and I will be contacted to pick my child up from the camp immediately.  If there is any reasonable suspicion of drugs, alcohol, tobacco, related paraphernalia, or weapons of any kind in my child's possession, the camp director has the right to search my child's belongings, and in the event that anything is found, law enforcement may be contacted.  In this situation, my child will also forfeit the remainder of her/his camp experience, and I will be contacted to pick my child up from the camp immediately.  I also agree to release and discharge all claims for ourselves, our heirs, and as a parent or legal guardian for the camper named on this registration form against Creswell Camps, LLC, and will hold them harmless from any and all liability or demands for personal injury or property damage of any nature whatsoever which may be incurred by the camper as a result of participation in these camps.  I acknowledge that participating in these camps may include a possible exposure to a communicable disease including but not limited to MRSA, influenza, and COVID.  I further acknowledge that I am aware of the risks associated with exposure to COVID, including individuals with serious underlying health conditions such as, but not limited to:  high blood pressure, chronic lung disease, diabetes, asthma, and those whose immune systems are compromised.  We knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of others, and assume full responsibility for our camper's participation in camp.  We willingly agree to comply with the stated recommendations put forth by Creswell Camps, LLC to limit the exposure and spread of COVID and other communicable diseases."