Summer Camp Registration


One Form Per Child
Child Information
Camp Registration (mark all that apply)








Primary Contact
Secondary Contact
Emergency Contact
Participation Waiver
Please read carefully and sign below. I understand that River Oaks Country Club assumes no responsibility for injuries or illnesses which my child may sustain as a result if his/her physical condition or resulting from his/her participation in any athletic activities, sports program, the use of any equipment, exercise or other activities. I expressly acknowledge on behalf of myself and my heirs that I assume the risk for any and all injuries and illness which may result from his/her participation in these activities and I hereby release River Oaks Country Club, its agents, servants, and employees from any and all claims of injury, illness, death, loss or damage which he/she may suffer as a result of his/her participation in these activities and I recognize that River Oaks Country Club will make every reasonable effort to minimize exposure to known risks associated with the program. I understand that River Oaks Country Club is not responsible for personal property lost or stolen while members and/or program participants are using the River Oaks Country Club facilities on River Oaks Country Club premises. I give permission to River Oaks Country Club to use, without limitation or obligation, photographs, film footage, my child’s image or voice for purpose of promoting or interpreting River Oaks Country Club programs. I acknowledge the Waiver as set forth.
Transportation Agreement
Your child may be using bus transportation provided by the River Oaks Country Club. This will be for field trips, or for transportation to and from the program site. By my signature below, I give permission for my child to travel by bus with the River Oaks Country Club staff.
Illness
In the case that your child becomes ill during the program, you will be contacted as soon as possible. If the parent or guardian is unable to be reached, the child’s emergency contact will be notified. It is the responsibility of the parents or guardians to arrange for the child to be picked up from the facility as soon as possible. In the case that your camper or anyone in the immediate household of the camper develops a reportable communicable disease as defined by the State Board of Health, it is the responsibility of the parent to notify River Oaks Country Club within 24 hours or the next business day in order for River Oaks Country Club to take proper action, except in the case of life threatening diseases which must be reported immediately.
Emergency Authorization
Please read carefully and sign below. My signature authorizes the management and staff of River Oaks Country Club to act for me according to their best judgment in the event of a medical emergency and/or routine medical care. By my signature I hereby waive, release and hold harmless River Oaks Country Club, it’s management, volunteers, agents, and staff from any and all liability for any injuries, death, or illness sustained and/or incurred while at Camp and/or while using any facilities of, or participating in any of the activities or River Oaks Country Club. I/we grant permission for emergency medical treatment and/or routine medical care by the River Oaks Country Club camp staff, an ambulance, or private physician and/or hospital or emergency health care staff, under the same circumstances as above, if needed. Any such action will be taken in the best interest of my child and will be reported to me/us as soon as possible. My signature waives and/or releases River Oaks Country Club from any and all liability and/or financial responsibility for any medical expenses incurred.
Waiver of Liability
The signature below signifies acceptance of the following waiver of liability. I acknowledge that River Oaks Country Club may compile address labels and lists and may utilize photographs of the named individual. I consent to these uses of my name, address and likeness and hereby waive all rights to compensation for their use in the promotion and/or operation of River Oaks Country Club.

To induce River Oaks Country Club to accept registration and permit participation in River Oaks Country Club sports programs, I hereby give my consent and agree to release, indemnify and hold harmless River Oaks Country Club its officers, officials, coaches, employees and representatives from any claim arising out of injury to the named individual. I also hold harmless River Oaks Country Club, its officers, officials, coaches, employees and representatives from and against any claim arising out of injuries or conditions caused by or aggravated by my refusal to obtain available medical treatment based on religious or philosophical beliefs or otherwise.

I understand that as a participant in River Oaks Country Club sporting events that I must abide by all rules, regulations and philosophies of River Oaks Country Club.
Health Report & Comments on Child's Development





In emergencies requiring medical attention, your child will be taken to the nearest hospital emergency room. Your signature below authorizes a representative of River Oaks Country Club to have your child transported to the hospital.
Medication
Only prescription medication or over the counter medication with permission from child’s physician will be administered. Do not send medications with your camper. Medicine must be handed to the staff member at the check-in table by the parent. All medicines must be kept by the staff in the locked cabinet. Children are not permitted to keep medications in their book bags or pockets.

PRESCRIPTION MEDICATIONS SHOULD BE IN THE ORIGINAL CONTAINER AND LABELED WITH THE CHILD’S NAME, INSTRUCTIONS, INCLUDING TIMES AND AMOUNTS FOR THE DOSAGES, AND THE PHYSICIAN’S NAME IF IT ISN’T LABELED ALREADY.
* Denotes Required Field
       
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