Family Camp Registration Form

Form Tip: Have a quick review of the form to ensure you have all the info you’ll need at hand, before you begin.
Camp Tip: We’re preparing the summer program experience details right now with family camp in mind!

Summer Family Camp

Summer Family Camp

Family Members

Camper Children


Emergency Details


Camp programs include lots of physical activity and in spite of all ongoing efforts by Kawkawa to maintain adequate and safe supervision it is possible for accidents or injuries to occur.
Acknowledging this, I give consent for my child(ren) named above to participate in camp activities. I acknowledge that I do so with full knowledge and understanding of the risk of injury to which she/he is being exposed. I expect Kawkawa Staff to treat my child in a kind and responsible manner, but realize mishaps can happen, and knowing this I release Kawkawa Camp & Retreat from any and all liability unless caused by direct negligence of Kawkawa staff.
I hereby grant permission to the First Aid Attendant or Camp Director to authorize medical treatment and to inform me as soon as possible.

I permit Kawkawa Camp and Retreat to use any photographs/video taken of my child while participating in Kawkawa programs for Kawkawa Camp & Retreat promotional use.

I understand that my contact info will be used solely for the purposes intended with regard to Kawkawa Camp and Retreat's summer programs. I understand I will receive some promotional information about Kawkawa from time to time and that Kawkawa Camp and Retreat will never share my contact information with any third party unless required by court order.
This function serves as your unique signature for this online form only.