Watchmen Summer Camp Registration
Student-Athlete First Name *
Your answer
Student-Athlete Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Gender *
T SHIRT SIZE *
Student's Date of Birth *
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DD
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YYYY
Did student-athlete attend CSLA in 2017-18? *
Grade for 2018-19 *
Sports Camps being registered for *
Required
Parent/Guardian Name (first and last) *
Your answer
Parent/Guardian best phone number *
Your answer
Parent/Guardian Email Address *
Your answer
Emergency Contact (other than Parent/Guardian) *
Your answer
Emergency Contact Relationship to Student *
Your answer
Emergency Contact Phone *
Your answer
Allergies *
Medical conditions *
Current Medications *
Insurance
It is understood that C.S. Lewis Academy is not liable for any medical, dental, or hospital bills occurring as a result of athletic injuries by a student while participating in a Watchmen Summer Sports Camp, and that such bills, in excess of insurance benefits, shall be the responsibility of the student-athlete's parents/guardians.
Medical Insurance Company *
Your answer
Policy Number *
Your answer
Assumption of the Risk and Waiver of Liability Agreement
Please read carefully! This document waives certain legal rights, including claims for damages
This assumption of the risk and waiver of liability agreement (the “Agreement”) is executed by the Participant above, and, if applicable, his/her parent or legal guardian (below), in favor of C.S. Lewis Academy and Newberg Open Bible, Oregon nonprofits (“CSLA/OB”). The undersigned are aware and understand that the Participant will be participating in a program run by WATCHMEN SUMMER SPORTS CAMPS (the “Program”), on property owned by Newberg Open Bible and managed by C.S. Lewis Academy.

The undersigned understand that participation in the Program carries certain hazards and risks, include the potential for serious bodily injury or death that arise from the inherent nature of these activities, and/or the actions of others involved in the Program. These risks include, but are not limited to, hazardous and unpredictable weather conditions or other acts of nature, mechanical malfunction or equipment failures, acts or omissions of third parties, accidents caused by a variety of human factors, and medical conditions of the participant-whether any of these acts, conditions, or risks are foreseeable, obvious or hidden, or through negligence, acts or omissions of any kind; NOW, THEREFORE, in consideration of Participant being permitted to participate in the Program, which makes use of CSLA/OB’s facilities, the undersigned intending to be legally bound agrees as follows:

1. The undersigned understand that participation in the Program entails inherent risks of physical injury, including but not limited to the risks identified above, and agree to assume any and all risks of participation in any part of the Program, and freely and voluntarily choose to participate in these activities with full knowledge of these risks;

2. I/we release and waive all claims I/we may have against CSLA/OB and its trustees, officers, directors, coaches, employees, agents, employees and all other persons associated with CSLA/OB (collectively the “Released Parties”) for injury, death, loss and any and all damages that Participant may sustain or suffer of any kind - including those caused by the acts or omissions of the Released Parties, including negligent acts or omissions, other than those caused by the Released Parties' intentional misconduct - arising out of participation in any part of the Program. This waiver extends to claims which the undersigned does not know of, or suspect, at the time of the execution of this Agreement.

3. The undersigned agree to defend, indemnify, and hold harmless the Released Parties from any and all claims, lawsuits, causes of action, liability, costs or expense of any kind, including attorney fees, arising out of any injury, death, loss or other damages that Participant may sustain or suffer of any kind associated in any way with Participant's participation in any part of the Program, even if such injury, death, loss or damage is the result of acts or omissions on the part of any or all of the Released Parties, or from any other cause, other than the intentional misconduct of a Released Party. The parent or legal guardian of any minor named above hereby expressly agrees to defend, indemnify, and hold harmless the Released Parties from any and all claims, lawsuits, causes of action, liability, costs or expense of any kind, including attorney fees, which Released Parties may incur as a result of a claim, lawsuit or demand made by said minor against Released Parties, to include but not be limited to any such lawsuit, claim, or demand asserted against Released Parties after said minor reaches the age of majority.

4. The undersigned agree not to sue or initiate or be a party to any claim, lawsuit, or demand, prosecution, or action of law for any damages, relief, or compensation, which I/we may have by reason of injury, death, or loss of any kind associated with of Participant' s participation in any part of the Program.

5. This Agreement shall be effective and fully binding upon my estate, family, and assigns in the event of my death.

6. If any part of this Agreement is determined to be unenforceable, such a determination shall not affect the enforceability of the remaining provisions, and I agree to indemnify and defend each Released Party against Claims arising from the Program that are not released as a result of the unenforceability of this release of claims.

7. The undersigned certify that they have adequate insurance to cover any injury or damage caused or suffer while participating, or they agree to bear the costs of such injury or damage. They further certify that the Participant has no medical or physical conditions that could interfere with their safety in this activity, or else are willing to assume-and bear the costs-of all risks that may be created, directly or indirectly, by any such condition.

8. The undersigned hereby authorizes WATCHMEN SUMMER CAMPS to act for me according to their best judgment if any emergency requiring medical attention arises.

9. This Agreement shall be governed by and construed under the laws of Oregon.

Each of the undersigned fully accepts the contents and conditions of this Agreement and agrees to them by signing voluntarily below. We are aware that by signing this Agreement that we are waiving certain legal rights which I or my heirs, next of kin, executors, administrators, legal representatives, and assigns may have against the Released Parties.
Parent/Guardian Agreement *
I acknowledge that I have read and understand this document. I agree to its conditions. I have also provided information concerning insurance. By typing your name in the signature box and clicking submit at the end of this document, you agree that you are electronically signing this agreement in accordance with the Electronic Signatures Act (Public Law No: 106-229), and agree to be bound by all terms and conditions.(type name)
Your answer
Watchmen Summer Camp Fees
Summer Camp fees for CSLA students (enrolled for 2018-19) are $40 for the first camp, $25 for subsequent camps. Fee for non-CSLA students are $50 per camp. Fee includes one T shirt per summer. CHECKS PAYABLE TO CSLA ATHLETICS. Fee should be submitted to the Camp Director or Athletics Director. Due no later than the first day of camp.
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