June 26-July 1 | Cedar Creek Students @ Snowbird '17
Snowbird Wilderness Outfitters requires their own waivers and releases, which can be completed on their website. Camp is from June 26-July 1, 2017. Deposit of $50 is due on April 15 with the remaining $275 due by May 31st. Every effort will be made to accommodate the financial realities which face all families. Please contact Zach with concerns.
Date of Birth
Grade which the student will be entering:
Student T-Shirt Size
Emergency Contact Number
Snowbird Wilderness Outfitters is an exceptional camp with an outstanding safety record. Being in Andrews, NC, however, makes the camp a 40 minute drive to the nearest major hospital. In order for leaders to make the best informed decisions for the care of you child, please complete the following carefully and completely.
Primary Care Physician
Primary Care Physician Number
Does your student have any allergies besides seasonal hay fever?
If so, please explain here.
Does your student take any medication?
If so, please list them here.
Is your student capable of managing his or her own medications?
If not, do you give our volunteers permission to administer medication to your student?
Does your student have any condition or illness that would prevent their full participation in any physical activity (rafting, hiking, thrills, swimming, etc.) ?
If yes, please explain in detail here.
Is your student dependent on an albuterol or rescue inhaler?
Does your student have any of the following conditions?
Chronic Back Pain
Release & Waiver
I give consent for my student to participate in the “Snowbird '17, Summer Camp” with Cedar Creek Baptist Church (CCBC). I do not hold CCBC liable for any injuries, accidents, or illnesses incurred during the event. I understand I am responsible for the expenses of my student’s medical care and that my family insurance is primary. I further give my consent for my child to ride in any vehicle the sponsors may designate. I understand that I am responsible for my child’s transportation to and from the location of the event, even though CCBC has provided transportation. I also give my permission for my student’s photo to be used in CCBC flyers, its website, or advertisements produced by CCBC.
I have read the release and give my student permission to participate in Snowbird '17.
June 26-July 1
Cedar Creek Students @ Snowbird '17
Please Fix the Following