COAC Peace Camp Registration
COAC will be hosting a gathered middle school interfaith Peace Camp the afternoons of Sunday & Monday, Feb. 19-20, 2023.  Peace Camp is an annual two-afternoon gathering for 6th- through 8th-grade Jewish, Muslim and Christian young people during which 40 or more participants build friendships with each other while they learn about the richness of each other’s religious traditions and develop skills for standing against faith-based prejudice and bullying. They are led by an interfaith team of 20 or more high school and college students from the three religions. For more information and to pay the $35 camp fee, go to: https://coacpeace.org/peace-camp/

Camp Fee - $35 covers t-shirt, snacks and bus transportation

For safety, all participants must be fully vaccinated against Covid and boosted.

See the Peace Camp 4 schedule below:

Sunday,  Feb. 19, 11 a.m. - 3 p.m. - Temple Chai, 1670 Checker Road,  Long Grove

3 p.m. Bus to Islamic Society of the Midwest, 501 Midway Drive, Mount Prospect, end there at 6 p.m. 

Monday, Feb. 20, 1130 a.m. - 4 p.m. Prince of Peace Lutheran Church, 930 West Higgins, Schaumburg

Please fill out the form below if you are interested in signing up your child for Peace Camp. To pay, bring a check made out to The Children of Abraham Coalition on Day 1 of the camp or click this link: 

You can contact me directly at brostcsv@gmail.com or go to coacpeace@gmail.com with your questions and/or comments. 

Father Corey Brost
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Your Name:  *
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Address:  *
Phone Number:  *
Child's Name:  *
Child's Date of Birth:  *
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Child's Gender: 
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Child's t-shirt size:  
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Peace Camp Waiver of Liability
Waiver of Liability, Assumption of Risk, and Indemnity Agreement
Please read the waiver and check the appropriate box below: 
Waiver: In consideration of ____________________ (the “Minor”) being permitted to participate in any way in Peace Camp sponsored by the Children of Abraham Coalition, February 19, 2023 & February 20, 2023 (hereinafter "The Activity"), I, in my capacity as the Minor’s parent or legal guardian, on behalf of the Minor, myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue The Children of Abraham Coalition, its officers, employees, and agents from liability from any and all claims resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in The Activity. I also give permission for my child’s image to be used in print and on social media as part COAC publicity. Finally, I also give permission for my child to be transported by bus for camp activities when necessary.
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Minor's Name:  *
Name of Parent or Legal Guardian:  *
Date:  *
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Assumption of Risks: Participation in The Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains to 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions to 3) catastrophic injuries including paralysis and death. I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.

Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD The Children of Abraham Coalition HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney's fees brought as a result of my involvement in The Activity and to reimburse them for any such expenses incurred.

Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of Illinois and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Acknowledgment of Understanding: I hereby certify that the Minor is covered by his or her parent’s or legal guardian’s own Medical Insurance. I further certify that I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily with the necessary legal authority to do so, and intend, by my signature, that this document be a complete and unconditional release of all liability to the greatest extent allowed by law.

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Name of Parent or Legal Guardian:  *
Date:  *
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