2024 Camp Out Registration Form

Friday November 8th - Sunday November 10, 2019 | Please fill out this form and click submit.

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

 
 
 
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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.

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By entering my name in the box above, I am providing my digital signature on this form. 
Sign Up to Volunteer

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Preparing for the weekend

Payment

The cost for each camper is $20. Children 3 and under are free.
You can also pay $10 for Saturday Only.

 
 
 
 
 
 

Description

Friday November 8th - Sunday November 10, 2019
Please fill out this form and click submit.

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