Medical Release and General Liability

In consideration for being accepted by the Florida College Hutchison Bell Alumni Association for participation in the 2016 Florida College Winter Camp, I (we) being 21 years of age or older, do for myself (ourselves) and for and on behalf of my child-participant, do hereby release, forever discharge and agree to hold harmless the Florida College National Alumni Association and the directors and agents thereof, from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in the above-mentioned summer camp.

Furthermore, I (we) and on behalf of my (our) child-participant, hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein.

Further, authorization and permission is hereby given to said Florida College National Alumni Association to furnish any necessary transportation, food, and lodging for this child-participant.

The undersigned further hereby agrees to hold harmless and indemnify said Alumni Association and College, their directors and agents, for any liability sustained by said Florida College National Alumni Association, College, their directors and agents as the result of the negligent, willful or intentional act(s) of said participant, including expenses incurred attendant thereto.

I (we) am (are) the parent(s) or legal guardian(s) of this child-participant, and hereby grant my (our) permission for him or her to participate fully in activities of said camp, and hereby give my (our) permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including but not in limitation to emergency surgery or medical treatment, and assume the responsibility of all medical bills, if any. Further, should it be necessary for the child-participant to return home due to medical reasons, disciplinary or otherwise, I (we) hereby assume all transportation costs. 

FC Winter Camp - FL 2017 will be January 13-15.  You may check-in anytime after 7PM on Friday.  Pickup time on Sunday will be at Noon.  We will have a worship service at Camp Geneva on Sunday morning at 9:30.  Please join us!!  Fill out the simple form below and click "Submit".  The Medical Release and General Liability statement you are agreeing to can be read to the right.  Winter Camp cost is $85.  Payment can be mailed to:

Phil Robertson

​​11418 NW 17th Lane
Gainesville, FL 32606

**Please Make Checks Payable to:  FC Camp**


​Camp Address:  Camp Geneva - 36540 Vía Marcia, Fruitland Park, FL 34731