Adventure Camp- Monday 6/30 – Valley Mill Camper Forms

Greenbrier State park (Swimming)

Once everyone arrives at the main office, we will take attendance. Once everyone is sorted, we will head out to Greenbrier lake. When we get there we will walk to the lake and spend the day swimming in the lake. We will have lunch on the waterfront. If there is time and kids want to we can go on one of the many hiking trails around the lake.

What to pack:

Refillable Water bottle

Packed lunch

Sunscreen & Bug spray

Backpack

Water shoes & good walking shoes

Hat for sun protection

Towel

Swimsuit

A change of clothes in case your child wants to change

Nearest Hospital:

Holy Cross Germantown Hospital

19801 Observation Dr, Germantown, MD 20876

Trip Leaders:

Paul Diallo – 240-340-2871

Elea Breeden (443-517-3513)

Trip location:

Greenbriar Lake

Greenbriar Lake, Maryland 21713

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To Give Permission:
By signing this form, you give permission to Valley Mill Camp to take your child off camp property to participate in the Adventure Camp Trip. If you would like your camper to attend this trip, make sure to indicate this with your digital signature. If you do not want to give permission or if they cannot attend, or if you have any questions, please call 301-948-0220.
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MEDICAL RESTRICTIONS, AND ANYTHING YOU'D LIKE US TO KNOW
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- My child has no physical, mental or medical condition that would adversely affect his/her ability to participate in the Valley Mill Camp program or that would affect his/her safety or the safety of the group. I agree to inform Valley Mill Camp of any such physical, mental, or medical condition should one develop in the future.
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- I understand and agree that in participating in the Valley Mill Camp program or using the equipment or facilities of Valley Mill Camp or receiving the instruction of Valley Mill Camp there is the possibility of accidental or other physical injury. I agree to assume the risk of such injury and further agree to indemnify Valley Mill Camp Inc., Seneca Joint Venture and all of their agents, employees, directors, officers, affiliates, successors, and assigns (collectively “Valley Mill Camp”) from any and all liability as a result of my or my camper’s use of the facilities, equipment and instruction offered by Valley Mill Camp.
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- I agree that I am the Parent or Legal Guardian of the Camper named above, that I am 18 years of age or older, and that I have the legal authority to grant this permission to Valley Mill Camp Inc
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