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June

18-22
Monday-Friday


$80 Early Registration
Return forms before June 1

$100 Late Registration
Return forms by June 13
PARENT INFORMATION
FALLS CREEK 2018
WHAT IS FALLS CREEK?
Falls Creek is the largest Christian camp in the world. Nestled in the Arbuckle Mountains in southern Oklahoma, Falls Creek has been in
operation since 1917. It is a distinctively Christian camp, upholding high moral standards and challenging students to follow Christ every
day.

Falls Creek is unique in that it is a place where over 100 churches come each week to hold their own camp week. Each church secures a
cabin, provides its own sponsors and meals, enforces the camp dress code and code of conduct, and teaches its in-cabin bible study and
devotions. The focus of our teaching in 2018 will be building maturity through spiritual disciplines. The focal verse is Philippians 1:6 “And I
am sure of this, that He who began a good work in you will bring it to completion at the day of Christ Jesus.”

If you would like to look in or listen to some of the camp services, you may go to www.skopos.org/fallscreek/media for audio of the services
from past summers. We also provide a live stream of the Evening Worship Service during the summer on weeknights from 7:30-9:00pm,
available at www.skopos.org/fallscreek/livestream.

You may also see copies of the provided camp Bible studies at www.skopos.org/resources.

HOW TO PRAY THIS WEEK


Your student(s) need to know that you and your church are praying for them as they spend the week at camp. We encourage you to pray
each day specifically for your child and at least one other student on the trip. You may want to meet once during the week as parents to
pray specifically for the group. Please pray for the safety of the camp, camp leadership, sponsors, and for the specific daily events as they
happen.

RECREATION
Volleyball, softball, kickball, horseshoes, zip lines, high and low ropes course challenge elements, skateboarding, hiking, running, kayaks,
lake park, water slides, and swimming are options for the week of camp. In addition to these camp-wide recreation venues, each church
designs its own recreation plan for its group. If you would like more information about Falls Creek recreation you can go to www.skopos,org/
fallscreek/around-grounds or email youth@bgco.org.

INSURANCE & FIRST AID


Accident and illness insurance is provided for all those attending Falls Creek Baptist Conference Center. Most injuries or illnesses that occur
during the week of camp are covered by insurance. Accident and illness insurance benefits are limited and payable up to a certain amount.

The insurance coverage includes accidents and illness that occur during regularly scheduled activities on the grounds of Falls Creek. This
insurance coverage also includes the time spent traveling directly between the Conference Center grounds and the camper’s residence.
Day trips or other activities off the Conference Center grounds are not covered. To apply for accident and illness insurance benefits, a claim
report must be completed and submitted to the insurance provider. The claim report form may be obtained at the First Aid Station at Falls
Creek. For claims submitted to the accident and illness insurance company, the injured/ill person is responsible for making payment to the
medical provider (hospital, ER, doctor, etc.). If coverage applies, the insurance company will issue reimbursement directly to the injured
person, parent, or guardian, as the case may be, for approved claims.

A 2018 RELEASE FOR MUST BE COMPLETED FOR EACH CAMPER AND SIGNED BY A PARENT OR GUARDIAN.
This information is helpful to the camp physician in ministering to an injured or ill person.
Most minor injuries or illnesses are taken care of in the church cabin. However, if medical attention should be required, the sponsor (or an
adult appointed by the sponsor) should come with the patient to the First Aid Station. If the illness or accident should be of a serious nature,
patients may be sent to a hospital or doctor in a nearby town.
FALLS CREEK OFFICE PHONE NUMBER
DAILY SCHEDULE (580) 369-2101
MONDAY In the case of an emergency please use this number.
1:00-4:00pm Registration (North tabernacle entrance)
5:45pm Dinner VISITING FALLS CREEK
6:30pm Seat Reservations (South tabernacle entrance) If you drive in for a day at Falls Creek, there will be a $3 charge
6:30pm Invitation Training (Chapel exterior doors open at per person for the day or individuals may purchase an activities
6:15pm) repeats on Tuesday
pass for $10 (BGCO) or $16 (Non BGCO). An activities pass will be
6:55pm Tabernacle Doors Open
required to participate in walk-up recreation (tournament play is not
7:00pm Pre-Session Entertainment/Camp Orientation
included). Each driver will also be required to present a valid driver’s
7:30pm Evening Worship Service
license for entry into camp. These are day charges only. Any visitor
10:15pm Evening Cabin Devotional
staying overnight will be subject to additional charges including
11:45pm Inside Cabins
the cost of a mandatory background check. A reminder, all guests
visiting Falls Creek must adhere to the dress code.
TUESDAY - FRIDAY
6:15-7:30am Daybreak (Tuesday Only see page 33)
Falls Creek Baptist Conference Center
8:00am Breakfast
Owned and operated by they
8:40am Quiet Time
Baptist General Convention of Oklahoma
9:00am Daily Sponsor Update (Chapel exterior doors open at 8:50am)
3800 North May Avenue, Oklahoma City, OK 73112
9:10am Doors Open for Morning Worship Service (All campers,
Falls Creek Conference Center website, www.fallscreek.org
same seats as the night before)
Falls Creek Program website, www.skopos.org/fallscreek
9:30am SURGE - Morning Worship Service Kick-off
10:00am Middle School (MS: 7-8) dismissed to Event Center for
LAUNCH
High School (HS: 9-12) remains in tabernacle auditorium for
JOURNEY

10:10am
Next Chapter (Graduates) dismissed to Chapel
Morning Worship Service begins
FALLS CREEK
10:50am
11:15am
12:00pm
MWS Dismisses
In-Cabin Bible Study
Lunch
CODE OF CONDUCT
GENERAL PURPOSE
1:30pm Recreation & Free Time Falls Creek youth weeks are planned for students who have
4:30pm Seat Reservations (South tabernacle entry) completed 6th through 12th grade. The code of conduct for
5:45pm Dinner Falls Creek is intended to assist the many diverse churches
6:45pm Sponsor Seating (South tabernacle entry) and students at camp to have a safe and enjoyable camp
7:00pm Tabernacle Doors Open experience, while growing in their faith. Falls Creek is a
7:30pm Evening Worship Service Christian camp designed to help students and adults know
10:15pm Evening Cabin Devotional and follow God, so the code of conduct prioritizes personal
11:45pm Inside Cabins encouragement and issues related to a student’s faith
development in Jesus. Falls Creek does not condone or
SPENDING MONEY encourage any activity on grounds that would humiliate
Extra spending money is suggested for each student who attends any camper, including initiation, hazing, and/or pranks.
Falls Creek. Pop, ice cream, and other refreshments will sold Furthermore, Falls Creek will not tolerate any activity that
between sessions and in the evening throughout the week. T-shirts, would harm any camper such as violence or abuse.
devotionals, journals, and many gift items are available at the Falls
Creek Gift Shop. All of these are optional expenses.
MODESTY/PDA
MAIL & PHONE CALLS Believing that modesty extends beyond the dress code,
Incoming mail is sorted and delivered to cabins daily. Falls Creek asks that students refrain from PDA (Public
Displays of Affection). Church sponsors should be diligent to
Mail sent to campers should be addressed: communicate this guideline to their students.

Camper Name
Church Name/Cabin Name CURFEW
Falls Creek Baptist Conference Center At 10:15pm, all students should be back at their cabin
6714 HWY 77D and should not be outside their cabin without a sponsor
Davis, OK 73030-8002 until after 6:30am. Groups are allowed to meet around the
perimeter of their cabin during late night devotional times,
but a sponsor should be with the group at all times and extra
care should be taken so other groups are not disturbed.
Groups/individuals must be inside their cabin by 11:45pm.
VEHICLES CAMP PROHIBITIONS
• Recreation vehicles for living or sleeping purposes are • Students will not be permitted to leave the grounds
permitted only in designated areas and must register in unless accompanied by a sponsor.
advance with the Conference Center.
• No bands or instrumental groups are allowed to perform
• Unnecessary and careless traffic is prohibited on Falls outside their cabin walls, except for groups that are an
Creek grounds. official part of the weekly programming for the whole
camp.
• Only Conference Center operated golf carts, utility
carts, or low speed vehicles (LSVs) are permitted. • Headset listening devices and sound systems may be
used only inside cabins.
• Delivery trucks are not permitted during summer camp
weeks except to supply Conference Center-owned • Excessive volume from a cabin is not permitted since
concessions. it can disturb other cabins. Please check with the Falls
Creek office, located in the Jordan Welcome Center, if
• All passengers must be seated in a vehicle according
there is an issue.
to its designated capacity—no passengers are allowed
in pickup beds or in the back of vehicles with hatch • No product sales are allowed at Falls Creek unless
doors raised. they have secured a contract through the Conference
Center.
• All cycles (uni-, bi-, or tri-) are prohibited on the
grounds. Violation of this policy could result in • Use or possession of illegal drugs, alcohol, or tobacco of
confiscation of equipment. Motorcycles may only drive any type is not permitted on the grounds. This includes
to and from the gate to their cabin or meeting place. e-cigarettes or other facsimiles.
• The possession of offensive weapons of any sort is
CELL PHONES prohibited at Falls Creek. Falls Creek Baptist Conference
Falls Creek asks that church leaders make determinations Center reserves the right to perform a random drug and
regarding their students’ use and possession of cell phones. weapon search at any time and confiscate items that
NOTE: The majority of group leaders limit the time students distract from the camp goals or that violate the code of
are allowed to use their cell phones each day in order to cause conduct of the camp.
less distraction from the camp experience. • Open flame items (other than grills) such as campfires,
tiki torches, etc., are not permitted on grounds, unless
CAMP REQUIREMENTS prepared and supervised by the Conference Center.
• Students are required to attend both the Morning and • Pets/animals (other than service dogs), fireworks, rock
Evening Worship Service each day. throwing, water fighting, laser pointers, and shaving
• Sponsors from each church are responsible for cream fights are prohibited on the grounds.
enforcing the code of conduct and camp dress code • Masks or any other disguise over the face cannot be
for their entire group (students, sponsors, and guests) worn by anyone outside of their cabin.
and for handling discipline issues within their group.
• For the safety of all guests, skates, roller-blades, and
» Courtesy Crew will be on duty 24 hours per day. skateboards are permitted only in the SwiftSkate Park
Courtesy Crew, when called upon, will assist area and only at designated times.
the adult leadership of any cabin in dealing with
discipline problems that may arise. Although the • No wading or swimming is allowed in the creeks or
Courtesy Crew is specifically assigned to the duty lake unless there is a Falls Creek lifeguard present. No
of enforcement, all Falls Creek Staff members are swimming/wading pools are allowed at cabins.
authorized to enforce the code of conduct, dress • No camera drones or remote controlled flying devices
code, and policies of the Conference Center. Please may be operated on grounds without expressed
respect all Falls Creek Staff. permission from the Director of Conference Centers and
• Church groups must sit together at all worship services. the Falls Creek Program Director.
If the group is too large to find a single location for
everyone, the group should divide into smaller groups
with adult sponsors in each group.
• All guests are required to show proof of registration or
ID to enter or re-enter the Conference Center grounds.
Day guests should leave grounds by midnight.
D r e ss Co d e & G U I D E L I N E S

DRESS CODE
Churches participating in Falls Creek should fully communicate the dress code to students BEFORE they pack and arrive for camp. While we understand the
desire for fashionable attire, we require you to wear modest clothing. Modesty is a biblical principle and helps keep people focused on the important things
at camp. (1 Timothy 2:9-10; 4:12)

All apparel judgments will be left to the discretion of the Falls Creek Staff (FCS). If FCS determines a camper or campers should change their clothing to fall in
line with camp requirements, then said camper or campers are required to do so.

GENERAL GUIDELINES:
• Shoes must be worn at all times outside of your cabin.

• Apparel may not display or promote tobacco, alcohol, controlled substances, or inappropriate language or pictures.

• Under garments must always be covered by outer garments (i.e. No boxer shorts hanging out or bra straps showing).

• Midriffs should always be covered.

• No spaghetti strap shirts or dresses.


• No tank tops.

• No short shorts. At a minimum, shorts must extend to, or just beyond, the campers’ finger tips.

• No tight fitting and revealing clothing. This includes leggings or similar attire, which cannot be worn as pants.

• Girls may wear dresses/skirts, but they must reach the top of the knee.

SWIMMING:
• Girls should wear modest one-piece swim suits. Males should not wear tight fitting swimming suits.

» While going to and from the swimming areas, all campers must wear shoes; males must wear a t-shirt and females must wear a long covering over
their swimming suits

WHAT TO SEND
• Modest clothing (see Dress Code) • Cabin Items: » Basketball
• Athletic clothing for sports » Pillow » Volleyball (Balls for games are
activities (Dress Code still applies provided)
» Bedding
during rec)
» Fishing tackle
» Towels
• Closed toe shoes for the ropes
» Ping pong paddle
courses » Hygiene products
• Optional:
• Swimsuit (see Dress Code for » Sunscreen
appropriate suits) » Umbrella
» Bug Spray
• Bible » Flashlight
• Recreation items
• Notepad » Rain jacket
» Skateboard, helmet, and pads
• Pen or pencil (Falls Creek provides pads if
needed)
• Spending money for concessions
or gift shop » Softball glove
BREAKOUTS
Check out all that is happening with Student Breakouts this summer at Falls Creek! Three tracks with specific direction,
offered at various times during the week:

SPIRITUAL GROWTH TRACK


• COLOSSIANS PART ONE – This is a study of Paul’s short New Testament epistle, Colossians. Part One will cover chapters 1 and 2.
• COLOSSIANS PART TWO – This is a study of Paul’s short New Testament epistle, Colossians. Part Two will cover chapters 3 and 4.
• FIVE BIBLE STORIES YOU NEED TO KNOW – All of scripture points to Jesus. This breakout will cover five significant Bible stories which all point to or
depict the work of Christ. (The Garden, Abraham and Isaac, Jonah, Hosea, and The Resurrection)
• EVANGELISM – This breakout will help students learn how to share their faith effectively.
• WORSHIP – This breakout will be led by our worship band each week and will be a discussion of what worship is and how to live with an active lifestyle
of worship. There will also be plenty of time for Q&A for students to ask the band questions about their lives and ministry.
• NEW BELIEVERS – This breakout is for those who are new to faith in Christ and want to begin this journey well.
• CALLED TO MINISTRY – This breakout will be led by OBU professors each week and will help those students who have sensed a call to ministry to take
some critical first steps toward a life of service.

HOT TOPIC TRACK


• SUICIDE PREVENTION – This breakout will discuss the topic of suicide. It will create an awareness of the issue we are facing and steps to take for the
prevention of this crisis. This breakout will be repeated, giving students and leaders two opportunities to attend.
• PROJECT LOVE: GUYS – This breakout will be focused on how to deal with temptation in regard to pride and lust.
• PROJECT LOVE: GIRLS – This breakout will be a discussion of biblical womanhood. Led by Godly ladies with a heart for mentoring young women, this
will be a great time of instruction and discussion.

LIFE SKILLS TRACK


• HOW TO LOVE IN A HATE FILLED WORLD – Jesus calls us to be light in the midst of darkness and hope in the midst of despair. This breakout will
focus on how to be a messenger of Christ’s love in a world full of cruelty and hate. This breakout will be repeated, giving students and leaders two
opportunities to attend.
• LIVING ONLINE – This breakout will help generations now living online to develop boundaries in regard to their online presence. It will also help
students discern illusion from reality in everyday living. This breakout will be repeated, giving students and leaders two opportunities to attend.

BREAKOUT TRACKS
SPIRITUAL GROWTH HOT TOPICS LIFE SKILLS

TUESDAY WEDNESDAY THURSDAY FRIDAY

COLOSSIANS COLOSSIANS LIVING ONLINE


MEC ROOM 2
PART 1 PART 2 LIVING ONLINE
2:00 - 3:00PM WEST DECISION WEST DECISION
EVANGELISM MEC ROOM 2
ROOM ROOM
CHAPEL

SUICIDE SUICIDE
PREVENTION PREVENTION
CHAPEL CHAPEL WORSHIP PROJECT LOVE
3:00 - 4:00PM TABERNACLE BOYS
FIVE BIBLE STORIES FIVE BIBLE STORIES (MAIN ROOM) CHAPEL
YOU NEED TO KNOW YOU NEED TO KNOW
MEC ROOM 2 MEC ROOM 2

HOW TO LOVE IN HOW TO LOVE IN CALLED TO


A HATE FILLED PROJECT LOVE MINISTRY
A HATE FILLED MEC ROOM 2
4:00 - 5:00PM WORLD WORLD GIRLS
WEST DECISION WEST DECISION MEC MAIN ROOM NEW BELIEVERS
ROOM ROOM CHAPEL
SPECIAL EVENTS
MONDAY
6:30pm Invitation Training — Massey Chapel (exterior doors open at 6:15pm)

9:00pm Missions Forum — Massey Chapel

9:15pm Open Skate and Indoor Ropes Challenge — SwiftSkate Park

TUESDAY
6:15-7:30am Daybreak Leadership Workshop — Event Center

6:30pm Invitation Training — Massey Chapel (exterior doors open at 6:15pm)

7:15pm Adult Leadership Investment — Massey Chapel

9:00pm Falls Creek LIVE! — Centennial Plaza

WEDNESDAY
1:15-1:45pm T-shirt and Standard Design Contest — SwiftSkate Park

3:00pm Pin Trading Party — Centennial Plaza

9:00pm Concert with Fedel — Centennial Plaza

THURSDAY
2:00pm Women in Ministry / Ministry Wives Event — MEC

3:30pm Apologetics Q&A — MEC

5:00pm Cook-Off Contest—Event Center (4:30 drop off)

9:00pm Open Skate and Indoor Ropes Challenge — SwiftSkate Park

9:00pm Apologetics Forum — Event Center

9:00pm Falls Creek LIVE! — Centennial Plaza

FRIDAY
9:00pm Appleby Society — Trinity Amphitheater
Bring clothes that
glow bright under a
black light!

Bring your comfiest,


funniest, or cutest
pair of pajamas!

Bring Hawaiian shirts, hula


skirts, lei necklaces, or
anything you'd wear to a
Lu'au!
Falls Creek 2 0 1 8 Student Release and Waiver of Claims Form (1 of 2)

Student Name:
Please fully COMPLETE this form. It is two pages, front and back (or adjoining page)
Host Church: Cabin:

Camper Name: Date of Birth:

Address: Phone: ( )

City: State: Zip:

Student E-mail: Grade This Fall:

In Emergency Notify: Relationship:

Home Phone: ( ) Cell or Work Phone: ( )

Secondary Emergency Contact: Phone: ( )

1 . Does camper have any known allergies or is camper unable to take any medication? Yes No (Please circle one.) If yes, what?

2 . Does camper presently take any medications regularly? Yes No (Please circle one.)

If yes, what medications? For what reason?

3 . Please List any other medical condition(s) that would be helpful to know:

4 . Date of last tetanus immunization:

5 . The above named child has current medical insurance coverage through:

Church:
Insurance Company: Name on Insurance Policy:

Insurance Company Phone Number: Policy Number:

Mailing Address for Medical Claims (see back of insurance card):

City: State: Zip:

6 . Does your insurance company require notification prior to emergency health care at a hospital?

If yes, Phone Number: ( )

7 . Will a parent of the Camper attend Falls Creek during the same period of time as the Camper? Yes No (Please circle one.)

If yes, name of parent:

Please continue to the back or adjoining page. All forms MUST be fully completed.

Parents:
Your child is required to abid e by the Falls Creek
d ress cod e and cod e of cond uct while at camp.

As a means of acknowled g ing and ag re eing to this,


their sig nature is required on the second pag e of this form.
Falls Creek 2 0 1 8 Student Release and Waiver of Claims Form (2 of 2)
I understand that it is the responsibility of my child’s Host Church to obtain insurance permission for
treatment or to limit my child’s recreational activities because of a stated medical condition.
My child, will be attending Falls Creek during the summer session, 2 0 1 8 . Falls Creek Baptist Conference Center is managed and
operated by the Baptist General Convention of Oklahoma (“BGCO”). In the event that my child should need emergency medical care or attention, the Host Church leadership, the BGCO
or any of their agents or employees is hereby authorized to consent to the provision of such emergency medical care, including without limitation, medical, dental, surgical care, or
hospitalization, to my child as is recommended or suggested by a physician, nurse, surgeon, or other health care professional.

• If such emergency care is provided, I understand that my health insurance information will be given to the health care professional and that any expenses not covered by my insurance
shall be my responsibility. I understand that the Host Church or the BGCO will not be obligated to pay either the health care professional or me for any medical expenses incurred.

•There are instances when third party contractors are used to operate and supervise various events and activities. In those instances where third party contractors are used, I agree that
neither the Host Church nor the BGCO is responsible for the action of these third party contractors. I further agree that neither the Host Church nor the BGCO is liable for the actions or
activities of participants or sponsors participating in events or activities operated by third party contractors.

equipment, and personal discipline may reduce this risk, the risk of serious injury does exist. I knowingly and freely assume all risks, both known and unknown, even if arising from
negligence, and assume full responsibility for my child’s participation in or observation of such recreational activity.

• Furthermore, in consideration of my child being allowed to attend Falls Creek camp, I, on behalf of myself and my child, hereby waive, and I hereby agree to indemnify and hold
harmless the Host Church, the BGCO, their agents or employees, against any and all causes of action, rights, claims or suits which I or my child may have against the Host Church,
the BGCO, or their agents or employees as a result of injury to my child, including, but not limited to: (1 ) injuries arising from my child’s participation in or observation of recreational
activities at Falls Creek, and (2 ) injuries arising from the decision of the leadership of the Host Church, the BGCO, or any of their agents or employees to consent to the provision of
emergency medical care to my child.

• I understand that my child’s image may be included in a video or in photographs that may be made during camp. I understand that a promotional or highlight video may be available
for sale during and after camp. I consent that my child’s image may appear on videos, promotional resources, camp endorsed web sites, etc.

and emotional counsel during their week of camp.

• I have received and read the Parent Information about Falls Creek including the list of the recreational options and the daily schedule, and I have received satisfactory answers to all my
questions about such information. I have read the Falls Creek Code of Conduct and Dress Code, and I have discussed the Code of Conduct and dress code with my child.

Parent Signature: Relationship to child: Date:

I have read and agree to the Falls Creek Code of Conduct and Dress Code and will abide by them.
Student Signature: Date:

OBU & BGCO Information Form - The following portion of this document is to be removed from the above by Falls Creek and
used by OBU for prize drawings at the end of the week. It is not a required part of this form.

Please Circle One Grade Just


Completed
Help us get to know you better by filling out this Student Profile. When you are finished, give this profile to the sponsors from your church
attending Falls Creek, so they can know how to pray for you at camp.

Name: Grade This Fall: Age:

Address: City: State: Zip:

Phone Number: Cell Phone Number:

E-mail Address: Instagram: @ Twitter: @

What activities are you involved in at school?

Tell us briefly about your family:

What is your favorite snack? What is your favorite video game?

What is your favorite movie? What is your favorite mobile game?

What is your favorite sport? What is your favorite mobile app?

Does your family usually attend church? Yes No


If yes, where?

Have you accepted Jesus Christ as your personal Lord and Savior? Yes No Unsure

If you are a Christian, when did you accept Christ?

Were you baptized after you accepted Christ? Yes No

If yes, where?

Which of the following do you do on a regular basis? (check all that apply)
_____ Read the Bible _____ Pray _____ Memorize a verse of the BIble _____ Talk to someone about Jesus _____ Spend time alone with God

Have you ever attended Falls Creek? Yes No

Why do you want to go to Falls Creek?

When the adults from our church pray for you, what would you like them to pray for during the week you are at Falls Creek?
Recreation Interest

Name _________________________________________________________________________________________

Check the following that you wish to participate in:

o Softball
o Ping-Pong Tourney (In cabin)
o Kickball
o Jungle-Pong Tourney (In cabin)
o Volleyball
o Corn-Hole Tourney (In cabin)
o Group Ropes Course


If you checked volleyball:

Do you already have a team? If yes, fill out the following:

Team Name __________________________________________________________________________________

Team Members (4-9 players)

______________________________________________ ______________________________________________

______________________________________________ ______________________________________________

______________________________________________ ______________________________________________

______________________________________________ ______________________________________________

______________________________________________


If you need help finding a team, mark the following with the order you prefer:

1-5 (1 being the highest preference) OR (Circle No Preference)


All boys ______ Co-ed High School ______

All girls ______ Co-ed with Adult Sponsors ______

Co-ed Middle School ______ No Preference

Falls Creek
Consent Form



I hereby give my approval and consent to this application, and therefore
release any New Life Bible Church (NLBC) staff member, volunteer,
and/or designated adult with whom myself/my child will be lodging
from any and all liability for sickness, accidents, or injuries of any nature
caused whatsoever, while attending and traveling to or from Falls Creek.
My consent also gives permission to ride in any vehicle designated by
the adult whose care my child has been entrusted while attending and
participating in Falls Creek. I further give authorization for any
approved leader or volunteer at Falls Creek to transport myself/my
child to a local doctor’s office or hospital emergency room and to secure
the services of a licensed physician. I further promise to utilize family
insurance for any major medical care requiring hospitalization and
agree that I shall be liable and pay for all costs and expenses incurred in
connection with such medical services rendered to my child pursuant to
this authorization. I also give consent to the use of any audio or visual
record of the participant to be used, distributed, or displayed for event
celebration and future promotion. This consent includes, but is not
limited to photographs, video, and audio recordings.






Parent/Guardian Name (print) _______________________________________________

Signature ________________________________________ Date _________________________

Participant Name (print) ______________________________________________________

Signature ________________________________________ Date _________________________

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