Whitetail Resort Adventure Camp 2018 Our mission is to provide the ideal outdoor environment and a unique opportunity for children to learn valuable skills and make new friends through programs that are challenging, educational and fun. We strive to create space for young people to learn how to work as a group while gaining confidence in their unique abilities as individuals. Dear Parent or Guardian, We appreciate you registering your child(ren) for our camp this summer. We have a great week of adventure on tap. Please take the time to read this letter and the rest of the packet as you complete it. We have several decisions that you and your camper(s) will need to make. We are excited about the quality and experience of the instructors and facilitators that we have assembled to work with the campers. Your campers will have a great time while learning and developing throughout this week of camp. What to bring for a day at camp. A backpack or bag supplied with the following (please label all belongings): Sneakers or hiking type shoe, water shoes ~ No Flip Flops (Sandals are OK) Bathing suit, towel and a change of clothing ~ you might get wet! Sleeping bag/mat and toiletries (if staying overnight Thursday) Hat, sunscreen, insect repellant and sunglasses Medications: If any medications need to be administered to your child while at camp, they should be properly labeled and given to the camp counselor daily with written specific directions. Drop Off and Pick Up: Drop off will take place between 8 and 8:15 am at Adventure Tubing. Pick up is at 4 pm in Adventure Tubing on Monday & Tuesday; 4:30 pm on Wednesday; and Friday we will have Parents Day in the afternoon. Thursday we will be camping overnight. If your child would prefer not to stay at Whitetail overnight, you may pick him/her up at 4:00 pm and drop them off again on Friday morning by 8:15 am. If you require special arrangements, please contact Tangela. **Please note: On Wednesday, we will be offering two options. Spending the day at Cedar Ridge in Williamsport, MD or at Saunderosa Park in Mercersburg, PA. If you would prefer to drop off and pick up your child/children at Cedar Ridge, we will need to know that in advance. The time frame is the same as if you were coming to Whitetail. For campers who would prefer, we will be providing transportation to both locations and back to Whitetail as well. If a camper is going to be absent anytime during camp, please leave a message at 717-328-9400 ext. 3526 before 7 am. Our Camp Includes: Lunch and snacks-a weekly menu is included in your registration packet. If the daily menu is not appropriate for your child, we ask the parent to provide a substitute meal for that day. Vegetarian options are available upon request. Camp T-shirt; Group photo; a craft; and much more. On Friday, we would like to invite all parents to come and enjoy the afternoon with us starting at 12:30pm. ~ Lunch, Awards and Wrap-up Cancellation Policy: If you cancel before 72 hours a full refund will be issued, within 72 hours, no refunds will be given. If you have any questions or concerns, please call Tangela at (717) 328-9400 ext. 3526. You may also email us at tmgibbons@skiwhitetail.com Thank you for choosing Whitetail Adventure Camp as a summer activity for your child. Please mail these forms to: Whitetail Resort, Attn: Tangela Gibbons, 13805 Blairs Valley Road, Mercersburg, PA 17236 or email to tmgibbons@skiwhitetail.com at least one week prior to camp.
CAMP MENU MONDAY Hamburger or Cheeseburger Salad w/fixings Bagged snack Applesauce FRIDAY Scrambled Eggs (Breakfast) Bacon Pancakes Juice & Milk TUESDAY Hot Dog on Roll Salad w/fixings Macaroni and Cheese Watermelon Finger Foods Chips and Pretzels Cookies and Fruit Lemonade WEDNESDAY (Boxed Lunch) Turkey or Ham & Cheese Sandwich Bag of Chips Grapes Cookie THURSDAY Chicken Tenders (Lunch) Salad W/Fixings French Fries Pudding Spaghetti (Dinner) Salad Garlic Bread Watermelon
Whitetail Resort Adventure Camp Registration Form Camper Information Camper s Name (First, Last) Nickname Gender Date of Birth / / Age T-Shirt Size (please circle one): Address City State Zip Sibling Registration: Camper s Name (First, Last) Nickname Gender Date of Birth / / Age T-Shirt Size (please circle one): Camper s Name (First, Last) Nickname Gender Date of Birth / / Age T-Shirt Size (please circle one): Parent/Guardian Information Name(s) Email Address Best Way to Contact Home Work Cell Alternate Registration Information Dates Attending (check) Week I July 9 13 Week II July 16 20 Week III July 23-27 Wednesday Option (check) Cedar Ridge Saunderosa Park (Team Building, Low Ropes & High Ropes) (Swimming, Fishing & Mini Golf) Sibling(s) Choice: Cedar Ridge Saunderosa Park (Team Building, Low Ropes & High Ropes) (Swimming, Fishing & Mini Golf) Emergency Contacts Name Relationship to Camper Preferred Phone Alternate Phone Name Relationship to Camper Preferred Phone Alternate Phone
Camper s Name: Medical Information Whitetail Resort will comply with all applicable state and federal laws related to privacy of information. Does the camper have allergies? If yes, please specify: Does the camper take rescue medication for above? If yes, please specify: Does the camper take any daily prescriptions/medications? If yes, please specify: Has the camper been treated for any other medical conditions: *** Sibling s Name: Does the camper have allergies? If yes, please specify: Does the camper take rescue medication for above? If yes, please specify: Does the camper take any daily prescriptions/medications? If yes, please specify: Has the camper been treated for any other medical conditions: *** Sibling s Name: Does the camper have allergies? If yes, please specify: Does the camper take rescue medication for above? If yes, please specify: Does the camper take any daily prescriptions/medications? If yes, please specify: Has the camper been treated for any other medical conditions: Name of Primary Care Physician Phone Health Insurance Co. Name Phone Verification of Accuracy and Full Disclosure I acknowledge that I have provided all known medical related information that may affect my child s participation. I agree to notify the staff if there is any change in my or my child s physical or medical condition prior to my child s scheduled activity. Signature Consent for Medical Treatment I consent to emergency first aid or medical treatment, which may become necessary during or in connection with my minor child s participation while at the Whitetail Resort Adventure Camp. Signature
Camp Release Agreement** Camper s Name: NOTICE OF RISK I, the undersigned do hereby understand, acknowledge and agree that participation in the Whitetail Resort Adventure Camp will include outdoor adventure activities such as; Team Building, High and Low Ropes, Zip Lines and other climbing related activities, Kayaking, Shooting Sports, River Tubing, Slip and Slide, Fishing, and Hiking, as well as Mountain Adventures at Roundtop Mountain.These activities like all outdoor adventure activities contain an inherent risk of serious injury or death. I understand that I may choose not to allow my child s participation in a specific activity and may do so by specifying that activity below: My child may not participate in: ASSUMPTION OF RISK UNDERSTANDING THE HAZARDS INHERENT TO THE CAMP ACTIVITIES, I AGREE TO ASSUME FOR MY MINOR CHILD, ALL OF THE RISKS INVOLVED. RELEASE FROM LIABILITY In consideration of my child being permitted to participate in the Adventure Camp at Whitetail Resort, I AGREE NOT TO SUE, TO RELEASE, HOLD HARMLESS, INDEMNIFY AND DEFEND THE WHITETAIL MOUNTAIN OPERATING CORP., SNOWTIME INC., ITS OWNERS, AGENTS AND EMPLOYEES, FROM ANY AND ALL LIABILITY IN ANY WAY RELATED TO MY CHILD S PARTICIPATION OR USE OF THE FACILITIES REGARDLESS OF ANEGLIGENCE ON THE PART OF THE ENTITIES NAMED ABOVE. I agree that I will advise the Counselor or staff of any medical or health conditions that might affect my child s participation in the program. I agree to report all injuries to a Counselor or staff member before leaving the area. I hereby grant my permission for Whitetail Resort to use any photograph, film, videotape or sound recording of my child for any legitimate business purpose. I agree that all disputes arising under this contract shall be litigated exclusively in the Court of Common Pleas of Franklin County, Pennsylvania or in the United States District Court for the Middle District of Pennsylvania. This agreement is governed by the applicable laws of this state. If any part of this agreement is determined to be unenforceable, all other parts shall be given full force and effect. I hereby give my permission for my child to attend the Whitetail Resort Adventure Camp, and to participate in all related activities, except those I listed above. I agree that I have read and understand the Notice of Risk, Assumption of Risk and Release of Liability and agree to be legally bound hereto. Signature of Parent or Guardian Date (The signature of one parent or guardian binds both parents or guardians to the terms of this agreement) **Please Note: Whitetail Resort requires a Release Form for each camper. Please access the Sibling Release form online and complete for any additional campers. This can be found on the Summer Camp page of the Whitetail Resort website.
ADDITIONAL INFORMATION (ONLY 1 FORM PER FAMILY IS REQUIRED) Camper(s) Name: Camp:Wk I (July 9-13) Wk II (July 16-20) Wk III (July 23-27) This camper will be dropped off and picked up at Cedar Ridge on Wednesday This camper will be staying overnight on Thursday This camper has special dietary needs/requirements Please explain: This camper has friends attending camp. Please group him/her with Additional comments, notes, etc.: Sibling Name: Camp:Wk I (July 9-13) Wk II (July 16-20) Wk III (July 23-27) This camper will be dropped off and picked up at Cedar Ridge on Wednesday This camper will be staying overnight on Thursday This camper has special dietary needs/requirements Please explain: This camper has friends attending camp. Please group him/her with Additional comments, notes, etc.: Sibling Name: Camp:Wk I (July 9-13) Wk II (July 16-20) Wk III (July 23-27) This camper will be dropped off and picked up at Cedar Ridge on Wednesday This camper will be staying overnight on Thursday This camper has special dietary needs/requirements Please explain: This camper has friends attending camp. Please group him/her with Additional comments, notes, etc.:
Cedar Ridge Adventures Making a Difference...One Adventure at a Time www.cedarridgeadventures.org CEDAR RIDGE ADVENTURES CHALLENGE COURSE AND ADVENTURE PROGRAMS RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT In consideration of being permitted to participate in the Cedar Ridge Adventures Challenge Course Program (hereinafter referred to as program ) and activities of the Adventures Department of Cedar Ridge Children s Home and School Inc (hereinafter referred to as CRA ) the undersigned is aware that the program involves a variety of activities including warm-ups, group initiatives, low and high challenge course elements, and other potentially rigorous physical adventure activities and is aware of the physical and emotional risks inherent in the participation in such activities and in the use of CRA equipment and facilities. Furthermore the undersigned has been advised of the voluntary nature of the program and is aware that they may decline to participate in the program, or in any part of the program, if they so choose. In further consideration of being permitted to enter CRA property for any purpose including, but not limited to, observation or use of facilities or equipment or participation in any off-site program affiliated with CRA, each of the undersigned hereby agrees to the following: 1. To release, waive, discharge, and hold harmless CRA, its directors, employees, representatives, affiliates, and agents (hereinafter referred to as releasees ) from all liability to the undersigned, his personal representatives, assigns, heirs, and next of kin from any loss or damages, and any claim or demands therefore on account of injury to the person or property or resulting in death of the under- signed, unless caused by the negligence or willful misconduct of the releasees while the undersigned is in, upon, or about the premises or facilities or equipment therein or participating in any program affiliated with CRA. 2. To indemnify and save and hold harmless the releasees from any loss, liability, damage or cost they may incur due to the presence of the undersigned in, upon, or about the CRA premises or in any way observing or using any facilities or equipment of CRA or participating in any program affiliated with CRA unless caused by the negligence of the releasees. 3. To assume full responsibility for any risk of bodily injury, death, or property damage due to negligence of participant or otherwise while in, upon, or about the premises of CRA and/or while using the premises or facilities or equipment therein or participating in any program affiliated with CRA. 4. To approve and release to CRA the use for purposes related to the business and promotion of Cedar Ridge Adventures of any photographic or video recorded image of the participant listed below. 5. To give permission for transportation to any medical facility or hospital, and to authorize any qualified instructor or medical personnel to render necessary emergency medical care for the participant listed below. The undersigned further expressly agrees that the foregoing release, waiver, and indemnity agreement is unconditional and is intended to be as broad and inclusive as is permitted by the law of the State of Maryland and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I, the undersigned as participant and/or parent or guardian of the named participant, have read and voluntarily sign this release and waiver of liability and indemnity agreement with the intent of affirming and making effective all representations made herein. I further attest that no oral representations, statements, or inducements apart from the foregoing written agreement have been made. PARTICIPANT (print name) PARTICIPANT SIGNATURE DATE PARENT OR LEGAL GUARDIAN MUST SIGN BELOW FOR ANY PARTICIPANT UNDER 18 YEARS OF AGE PARENT OR GUARDIAN (print name) PARENT OR GUARDIAN SIGNATURE DATE 12146 Cedar Ridge Road / P.O. Box 439 / Williamsport, MD 21795 PHONE 301-582-0282 FAX 301-582-0828 EMAIL adventures@cedarridge.org
When: Tuesday ~ July 10, July 17, and July 24 ~ Drop off is 8:00 to 8:15 am and Pick up is 4:00 pm Cost: $25.00/person per day Ages: 7 11 (guests will join the group of their friends) Bring: Back pack (please make sure everything is labeled) with swim suit, towel, change of clothing, sun screen, hat, insect repellant and sunglasses. NO Flip Flops ~ PLEASE! First Name Last Name Age/DOB I am a Friend of Parents Name E-mail Address City State Zip Preferred Phone Alt Phone Physician s Name Phone (Please provide a copy of insurance card with this form) Name Relationship Phone Alt Phone Name Relationship Phone Alt Phone The cost is $25/person per day. VISA MC Discover AMEX Cash Check # Card Number Exp / Name on Card CVV Code Signature of Parent or Guardian Date This form can be mailed, faxed, e-mailed or dropped off at Whitetail Resort.
(Bring A Friend) Camp Release Agreement NOTICE OF RISK I, the undersigned do hereby understand, acknowledge and agree that participation in the Whitetail Resort Adventure Camp will include outdoor adventure activities such as; Team Building, High and Low Ropes, Zip Lines and other climbing related activities, Canoeing, Kayaking, Archery, River Tubing, Slip and Slide, Fishing, and Hiking. These activities like all outdoor adventure activities contain an inherent risk of serious injury or death. I understand that I may choose not to allow my child s participation in a specific activity and may do so by specifying that activity below: My child may not participate in: ASSUMPTION OF RISK UNDERSTANDING THE HAZARDS INHERENT TO THE CAMP ACTIVITIES, I AGREE TO ASSUME FOR MY MINOR CHILD, ALL OF THE RISKS INVOLVED. In consideration of my child being permitted to participate in the Adventure Camp at Whitetail Resort, RELEASE FROM LIABILITY I AGREE NOT TO SUE, TO RELEASE, HOLD HARMLESS, INDEMNIFY AND DEFEND THE WHITETAIL MOUNTAIN OPERATING CORP., SNOWTIME INC., ITS OWNERS, AGENTS AND EMPLOYEES, FROM ANY AND ALL LIABILITY IN ANY WAY RELATED TO MY CHILD S PARTICIPATION OR USE OF THE FACILITIES REGARDLESS OF ANEGLIGENCE ON THE PART OF THE ENTITIES NAMED ABOVE. I agree that I will advise the Counselor or staff of any medical or health conditions that might affect my child s participation in the program. I agree to report all injuries to a Counselor or staff member before leaving the area. I hereby grant my permission for Whitetail Resort to use any photograph, film, videotape or sound recording of my child for any legitimate business purpose. I agree that all disputes arising under this contract shall be litigated exclusively in the Court of Common Pleas of Franklin County, Pennsylvania or in the United States District Court for the Middle District of Pennsylvania. This agreement is governed by the applicable laws of this state. If any part of this agreement is determined to be unenforceable, all other parts shall be given full force and effect. I hereby give my permission for my child to attend the Whitetail Resort Adventure Camp, and to participate in all related activities, except those I listed above. I agree that I have read and understand the Notice of Risk, Assumption of Risk and Release of Liability and agree to be legally bound hereto. Signature of Parent or Guardian Date (The signature of one parent or guardian binds both parents or guardians to the terms of this agreement)
Sibling Camp Release Agreement Camper s Name: NOTICE OF RISK I, the undersigned do hereby understand, acknowledge and agree that participation in the Whitetail Resort Adventure Camp will include outdoor adventure activities such as; Team Building, High and Low Ropes, Zip Lines and other climbing related activities, Canoeing, Kayaking, Archery, River Tubing, Slip and Slide, Fishing, and Hiking. These activities like all outdoor adventure activities contain an inherent risk of serious injury or death. I understand that I may choose not to allow my child s participation in a specific activity and may do so by specifying that activity below: My child may not participate in: ASSUMPTION OF RISK UNDERSTANDING THE HAZARDS INHERENT TO THE CAMP ACTIVITIES, I AGREE TO ASSUME FOR MY MINOR CHILD, ALL OF THE RISKS INVOLVED. In consideration of my child being permitted to participate in the Adventure Camp at Whitetail Resort, RELEASE FROM LIABILITY I AGREE NOT TO SUE, TO RELEASE, HOLD HARMLESS, INDEMNIFY AND DEFEND THE WHITETAIL MOUNTAIN OPERATING CORP., SNOWTIME INC., ITS OWNERS, AGENTS AND EMPLOYEES, FROM ANY AND ALL LIABILITY IN ANY WAY RELATED TO MY CHILD S PARTICIPATION OR USE OF THE FACILITIES REGARDLESS OF ANEGLIGENCE ON THE PART OF THE ENTITIES NAMED ABOVE. I agree that I will advise the Counselor or staff of any medical or health conditions that might affect my child s participation in the program. I agree to report all injuries to a Counselor or staff member before leaving the area. I hereby grant my permission for Whitetail Resort to use any photograph, film, videotape or sound recording of my child for any legitimate business purpose. I agree that all disputes arising under this contract shall be litigated exclusively in the Court of Common Pleas of Franklin County, Pennsylvania or in the United States District Court for the Middle District of Pennsylvania. This agreement is governed by the applicable laws of this state. If any part of this agreement is determined to be unenforceable, all other parts shall be given full force and effect. I hereby give my permission for my child to attend the Whitetail Resort Adventure Camp, and to participate in all related activities, except those I listed above. I agree that I have read and understand the Notice of Risk, Assumption of Risk and Release of Liability and agree to be legally bound hereto. Signature of Parent or Guardian Date (The signature of one parent or guardian binds both parents or guardians to the terms of this agreement)