Connection Successful Skull Island Day Camp | Registration Form

Camp Registration

Please fill out the (*) fields, even if you are only pre-purchasing unscheduled weeks. You will be able to update the information when you make your final scheduling choices. You will be able to log back in using your email address, so please note which email address you are registering with. Please register one camper at time.

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In consideration of Skull Island Camp, L.L.C., a Michigan limited liability company furnishing pontoon transportation services to my child in conjunction with island camp activities, I, on behalf of myself, my child, and our respective representatives and heirs, authorize Skull Island Camp to and request that Skull Island Camp provide pontoon transportation services to my child in conjunction with Skull Island Camp activities, and hereby voluntarily release, waive, discharge, hold harmless, defend and indemnify Skull Island Camp and its owners, agents, officers and employees from and against any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise as a result of the providing of transportation services to my child in conjunction with Skull Island Camp activities including without limitation pontoon transportation to, from or during any camp activity. I specifically understand that I am releasing, discharging and waiving any claim or actions that I may have presently or in the future for the acts or other conduct by the owners, agents, officers or employees of Skull Island Camp. I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXONERATE AND RELIEVE SKULL ISLAND CAMP FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER ACT OR OMISSION. NOTICE: Sports activities involve varying degrees of risk depending on the skill of the participants and the level of play. Each participant in the sports activities at Skull Island Camp such as swimming, fishing, rope swings, zip lines and paddle boating acknowledges that he or she is fully knowledgeable as to the risks of the sport in which the individual intends to participate. The participant states that he or she is in good health and has no knowledge of any illness which would impair ability or increase any risk. The undersigned participant agrees to assume all risks of the activity in which the undersigned will participate and waives all claims against Skull Island Camp, its agents, servants and employees arising out of the participation by the undersigned in the sports and other activities at the Skull Island Camp property. This agreement to assume the risks of the sports and other activities shall be continuing until revoked in writing with an acknowledgment in writing that the revocation has been received by Skull Island Camp. The undersigned is the parent or legal guardian of the child named above who is a minor. The undersigned acknowledges notice of the risks of the sports and other activities on Skull Island as stated in the above Notice, and approves of participation by the minor in the sports and activities and also allows for all publication to Facebook and island website photos and videos of above said child in above activities. The undersigned accepts and assumes the risks of the activities on behalf of the minor as stated in the foregoing paragraph. The undersigned authorizes employees of Skull Island Camp to request medical treatment for the minor in the event of any emergency which in the opinion of the employees requires immediate medical treatment.