Release Agreement:
By registering your camper for Mahaffey Youth Camps, you are agreeing to the following release agreement:
I hereby give my permission for my child to participate in the camp program at Mahaffey Camp and Conference Center. I also give my permission for my child to be transported in vehicles for camp approved transportation and activities. I also authorize Mahaffey Camp and Conference Center to use photographs/videos of my child for publicity and promotion. Mahaffey Camp and Conference Center operates in accordance with the USDA policy which does not permit discrimination because of race, color, age, gender, handicap, or national origin. In the event of an emergency when medical treatment is required, I give permission to the physician selected by the Camp Director, or designated staff, to hospitalize, secure treatment, order injections, anesthesia or surgery for the camper named on this registration form. Permission is granted to contact our family doctor. I also authorize the release of any medical information necessary for insurance purposes to Mahaffey Camp and Conference Center. Mahaffey Camp and Conference Center and/or the Western PA District of the C&MA will be in no way held responsible for medical treatment or liability resulting from health or physical conditions existing prior to the camper’s time at camp. It is understood that caution will be taken to prevent injury. I acknowledge that camp activities have inherent dangers that no amount of care or caution, instruction or expertise can eliminate. We and the participant expressly and voluntarily assume all risk of personal injury sustained while participating in aforementioned camp activities whether or not caused by the negligence of the released parties, including but not limited to: sickness (including transmission of viruses like COVID-19), bodily injury, death, emotional injury, personal injury, property damage, and financial damage. In the event of an accident, injury, or claim resulting from sickness (including claims related to the spread of infectious diseases), none of the following shall be held responsible: Camp Director, Nurse, any other camp staff or volunteer, Mahaffey Camp and Conference Center, or the Western PA District of the Christian and Missionary Alliance. Mahaffey Camp & Conference Center will be abiding by all current regulations set forth by the PA Department of Health in relation to the mitigation of the spread of COVID-19.
Medical Release Form: The camper listed is permitted to receive over-the-counter medications such as Tylenol, Pepto-Bismol, Benadryl, Maalox, Tums, etc. as supervised by the camp nurse. Please list on a separate sheet of paper any restrictions to this release for over-the-counter medications.