Camp Out 2018 Registration Form

November 9, 2018 | Please fill out this form and click submit.

Camp Brorein
Boy Scouts of America
16901 Boy Scout Rd, Odessa, Florida 33556
Primary Contact Info

 
 
 
Please select one option.
 
Emergency Contact

 
 
Release and Waiver of Liability


In consideration of my participation in all activities for the Anchor Point Church camp out, I agreed to release and hold harmless the Anchor Point Church, its respective officers, agents, representatives, successors, assigns and sponsors and all individuals associated with the event, from any and all liability (direct or indirect), for any injury or harm of any kind to me as a result of my participation in event activities or which might be incurred while I am in transit to or from the event.

I also give my permission to the chaperones to seek any necessary medical attention for me during this event. This notification will also include the right to sign for, but not limited to, any emergency service transport, hospitalization, or emergency services or surgery. I further agree to be responsible for the cost of such treatment, including but not limited to, costs associated with transportation to the treatment facility.
To express my understanding of the above release and waiver of liability for myself and all campers in my party, I sign here.

Please select all that apply.
 
 
By entering my name in the box above, I am providing my digital signature on this form. 
Payment

The cost for each camper is $20. Children under 5 are free.

*If finances are an issue for you, please DO NOT let that stop you from registering for this event! Please complete this registration form and we will take a donation Sunday at the camp cookout. Please see Tim Kaye during this event.*
PAYMENT OPTIONS

Credit Card Payment: Please CLICK HERE to be redirected to the online payment application. *Note: you will submit both the registration form and the online payment form*

Cash or Check Payment: There will be a one time collection for all cash and check payments at the camp cookout held Sunday November 11. Please provide payment to Tim Kaye during this event. Please DO NOT try to pay any earlier. 
Preparing for the weekend

When packing for the camp out, use this CAMPING CHECKLIST 

CLICK HERE TO DOWNLOAD THE WEEKEND ITINERARY 

Description

November 9, 2018
Please fill out this form and click submit.

Camp Brorein
Boy Scouts of America
16901 Boy Scout Rd, Odessa, Florida 33556