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Women's Weekend Registration Form

Adult Camper Information

Birthdate
Month
Day
Year
I prefer Camp Selah contact me via:
Text
Email

Medical Information

This medical infomation helps Camp Selah to serve you better.


In case of emergency, your personal health insurance will be used before Camp Selah’s coverage.

If food allergies please specify severity
Health history check all that apply

All medications must be stored with your personal belongings.

Camper Agreement

Please read this document carefully. By signing this agreement, you acknowledge that camp activities carry inherent risks and agree to waive certain legal rights.


1. Medical Declaration & Health Acknowledgment

  • Physical Fitness: I certify that I am in good physical health and have no medical conditions, injuries, or limitations that would prevent me from safely participating in camp activities.

  • Communicable Diseases: I acknowledge the contagious nature of illnesses (such as influenza, gastrointestinal viruses, or respiratory infections) in group environments. I agree that I will not attend camp if I exhibit symptoms of any infectious illness within 48 hours of my scheduled arrival.

  • Medication & Care: I understand that I am entirely responsible for storing, managing, and administering my own prescription medications while on the camp premises.


2. Assumption of Risk & Liability Release

  • Activity Hazards: I understand that camp activities may include, but are not limited to, outdoor trekking, water sports, challenge courses, campfire gatherings, and exposure to rough terrain, wildlife, and changing weather conditions.

  • Release of Claims: I knowingly and voluntarily assume all risks associated with participation, both known and unknown. I hereby release, waive, and forever discharge Camp Selah, its directors and employees from any and all liability, claims, or demands for personal injury, sickness, or death, as well as property damage or expenses, occurring during my stay.


3. Emergency Medical Authorization

  • Consent to Treatment: In the event that I suffer a medical emergency and am unable to make decisions for myself, I hereby authorize Camp Selah's staff to secure emergency medical treatment, hospitalization, or surgery from a licensed physician or hospital.

  • Financial Responsibility: I agree that I am solely responsible for any and all costs, insurance deductibles, or fees associated with emergency medical transportation and treatment.


4. Code of Conduct & Camp Policies

I understand that I will be served by Camp Selah whose mission exalts Jesus Christ through creative programming, a safe and loving atmosphere and gracious hospitality, and a motto which is “Christ Above All.”


  • Prohibited Items: I agree to abide by all camp rules regarding property boundaries, quiet hours, and safety protocols. I understand that the possession of illegal substances, unapproved weapons, or violation of safety rules will result in immediate removal from the premises without a refund.

  • Alcohol Policy: I understand that alcohol and the consumption of alcohol is not permitted on camp premises.


5. Media & Photo Release

  • Image Use: I grant Camp Selah permission to use photographs, videos, or audio recordings of me taken during camp for promotional, marketing, or website purposes.


By signing below, I certify that I am at least 18 years of age, have read this entire document, fully understand its terms, and agree to be bound by them.

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Women's Weekend Payments

Women's Weekend Payment

Paying the Deposit or Full Payment will secure your spot. $50 is non-refundable if you cancel.

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