Camp Craftsman Registration - Servant's Heart Ministry

Camper Registration

To enable as many students as possible to participate in this program, please register your child for ONE WEEK ONLY.

"*" indicates required fields

Camp Week*

Weeks July 8–12 and July 22–26 are FULL.

August 5th to 9th

Camper Name*

First Last

Age*

Gender*

Male

Female

How did you hear about Camp Craftsman?*

Other*

Primary Parent/Guardian Name*

First Last

Relationship*

Email*

Mobile Phone*

Home Phone

Secondary Parent/Guardian Name*

First Last

Relationship*

Mobile Phone*

Home Phone

Product Name

Does the camper have any allergies?*

Yes

Registration Fee*

Pay the $30 Registration Fee

I'd like to request a scholarship

Please list the camper's allergies.*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

Card Details

Cardholder Name

WAIVER OF LIABILITY (under 18)*

THIS RELEASE AND WAIVER OF LIABILITY (THE “RELEASE”) EXECUTED ON (DATE), BY (MINOR NAME) AND HIS/HER LEGAL GUARDIAN, (GUARDIAN NAME), IN FAVOR OF SERVANT’S HEART MINISTRY, A NONPROFIT CORPORATION ORGANIZED AND EXISTING UNDER THE LAWS OF THE STATE OF NEW JERSEY, AND SERVANT HEART’S DIRECTORS, OFFICERS, EMPLOYEES, AND AGENTS.

THE MINOR, (MINOR NAME), DESIRES TO BE A CAMPER AT SERVANT’S HEART’S CAMP CRAFTSMAN AND ENGAGE IN THE ACTIVITIES RELATED TO LEARNING CONSTRUCTION. I, (GUARDIAN NAME), HEREBY FREELY AND VOLUNTARILY, WITHOUT DURESS, EXECUTE THIS RELEASE UNDER THE FOLLOWING TERMS:

WAIVER AND RELEASE. THE GUARDIAN AND MINOR, RELEASE AND FOREVER DISCHARGE AND HOLD HARMLESS SERVANT’S HEART AND ITS SUCCESSORS AND ASSIGNS FROM ANY AND ALL LIABILITY, CLAIMS, AND DEMANDS OF WHATEVER KIND OR NATURE, EITHER IN LAW OR IN EQUITY, WHICH ARISE OR MAY HEREAFTER ARISE FROM THE MINOR’S WORK WITH SERVANT’S HEART. THE GUARDIAN/MINOR UNDERSTAND AND ACKNOWLEDGE THAT THIS WAIVER DISCHARGES SERVANT’S HEART FROM ANY LIABILITY OR CLAIM THAT THE MINOR, MAY HAVE AGAINST SERVANT’S HEART WITH RESPECT TO BODILY INJURY, PERSONAL INJURY, ILLNESS, DEATH, OR PROPERTY DAMAGE THAT MAY RESULT FROM HIS/HER PARTICIPATION AT CAMP CRAFTSMAN. I ALSO UNDERSTAND THAT SERVANT’S HEART DOES NOT ASSUME ANY RESPONSIBILITY FOR OR OBLIGATION TO PROVIDE FINANCIAL ASSISTANCE OR OTHER ASSISTANCE, INCLUDING BUT NOT LIMITED TO MEDICAL, HEALTH OR DISABILITY INSURANCE IN THE EVENT OF INJURY, ILLNESS, DEATH OR PROPERTY DAMAGE.

ASSUMPTION OF THE RISK. THE GUARDIAN UNDERSTANDS THAT THE MINOR’S TIME WITH SERVANT’S HEART MAY INCLUDE ACTIVITIES THAT MAY BE HAZARDOUS TO HIM/HER, INCLUDING, BUT NOT LIMITED TO, CONSTRUCTION ACTIVITIES, LOADING AND UNLOADING OF HEAVY EQUIPMENT AND MATERIALS, AND OPERATING POWER TOOLS. AS THE GUARDIAN FOR THE SAID MINOR, I HEREBY EXPRESSLY AND SPECIFICALLY ASSUME THE RISK OF INJURY OR HARM IN THESE ACTIVITIES AND RELEASE SERVANT’S HEART FROM ALL LIABILITY FOR INJURY, ILLNESS, DEATH, OR PROPERTY DAMAGE RESULTING FROM THE ACTIVITIES OF THE MINOR’S TIME WITH SERVANT’S HEART. LIMITED TO MEDICAL, HEALTH OR DISABILITY

INSURANCE, IN THE EVENT OF INJURY, ILLNESS, DEATH OR PROPERTY DAMAGE. INSURANCE. THE GUARDIAN AND MINOR UNDERSTAND THAT WE EXPRESSLY WAIVE ANY SUCH CLAIM FOR COMPENSATION OR LIABILITY ON THE PART OF SERVANT’S HEART BEYOND WHAT MAY BE OFFERED FREELY BY THE REPRESENTATIVE OF SERVANT’S HEART IN THE EVENT OF SUCH INJURY OR MEDICAL EXPENSE.

MEDICAL TREATMENT. THE GUARDIAN AND MINOR HEREBY RELEASE AND FOREVER DISCHARGE SERVANT’S HEART FROM ANY CLAIM WHATSOEVER WHICH ARISES OR MAY HEREAFTER ARISE ON ACCOUNT OF ANY FIRST-AID TREATMENT OR OTHER MEDICAL SERVICES RENDERED IN CONNECTION WITH AN EMERGENCY DURING THE MINOR’S TIME WITH SERVANT’S HEART.

PHOTOGRAPHIC RELEASE. AS THE GUARDIAN OF SAID MINOR, I GRANT AND CONVEY UNTO SERVANT’S HEART ALL RIGHT, TITLE, AND INTEREST IN ANY AND ALL PHOTOGRAPHIC IMAGES AND VIDEO OR AUDIO RECORDINGS MADE BY SERVANT’S HEART DURING THE MINOR’S TIME AS A CAMPER AT CAMP CRAFTSMAN, INCLUDING, BUT NOT LIMITED TO, ANY ROYALTIES, PROCEEDS, OR OTHER BENEFITS DERIVED FROM SUCH PHOTOGRAPHS OR RECORDINGS.

OTHER. AS THE GUARDIAN OF SAID MINOR, I EXPRESSLY AGREE THAT THIS WAIVER IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY THE LAWS OF THE STATE OF NEW JERSEY IN THE UNITED STATES OF AMERICA, AND THAT THIS WAIVER SHALL BE GOVERNED BY AND INTERPRETED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW JERSEY. I AGREE THAT IN THE EVENT THAT ANY CLAUSE OR PROVISION OF THIS WAIVER SHALL BE HELD TO BE INVALID BY ANY COURT OF COMPETENT JURISDICTION, THE INVALIDITY OF SUCH CLAUSE OR PROVISION SHALL NOT OTHERWISE AFFECT THE REMAINING PROVISIONS OF THIS RELEASE WHICH SHALL CONTINUE TO BE ENFORCEABLE.

I agree

Legal Guardian Name*

Legal Guardian Signature*

Workmanship Program

Camper Registration

(929) 445-7465