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NWYC Staff/Counselor Waiver 2026

Warm Beach Christian Camp & Conference Center

Waiver Of Liability And Release

PLEASE READ THE FOLLOWING CAREFULLY

Disclosure

Challenge Course activities often involve warm-ups, games, group initiative problems, low and high challenge elements, a forty foot high climbing tower and other rigorous physical adventure activities. The level of participation in all programs and activities is at all times determined by the participant. While participants’ safety is paramount to Warm Beach Camp, all risk cannot be eliminated from any activity. By choosing to participate, each participant assumes the risk that he/she may incur an emotional or physical injury and/or disability. Injuries can include, but are not limited to; cable burns, rope burns, sprains, skin abrasions, and pulled/strained muscles. In the unlikely event of a failure of a helmet, belay, or other safety precautions, more serious injuries or even death could result.

If you have any questions, have them answered before signing this document.

Release of Liability

I, the undersigned, understand that parts of the Challenge Course experience at Warm Beach Camp may be physically or emotionally demanding. In consideration of being permitted to participate in the Challenge Course at Warm Beach Camp, I, the undersigned, in full recognition and appreciation of the dangers and risks inherent in such activities, do hereby waive, release, and forever discharge Warm Beach Christian Camp and Conference Center, its officers, agents, volunteers, and employees from and against any and all claims, demands, action or causes of action for costs, expenses or damages to personal property or personal injury, or death, which may result from my participation in these activities.

I understand and admit that my participation is voluntary. I hereby agree to comply with all rules and regulations. I assume full responsibility for any injuries or damages resulting from my participation in these activities, including responsibility for using reasonable judgment in all phases of participation of the program. I recognize and understand that the activities may be hazardous, that my participation is solely at my own risk, and that I assume full responsibility for any resulting injuries and damages.

I affirm that I am in good health. I further declare that I am physically fit and capable to participate in such activities. I understand that it is my responsibility to notify the appropriate person should an injury occur.

I acknowledge that I have read and understand this entire Waiver of Liability and Release, and I agree to be legally bound by it.


This Waiver must be presented to the Recreation Staff prior to participation in the activity.

RELEASE: I, parent/guardian, or attendee of 18 years or older, hereby give approval for the attendee listed above to participate in the NWYC at Warm Beach Camp and relieve the Warm Beach Camp, the Seattle Church of Christ, the NW Fellowship of Churches, the rental facility, and all affiliated staff from any and all liability for sickness, accidents or injuries while attending or being transported to/from the facilities. I give consent to the NWYC Director and Medical Director (Nurse) to authorize medical help on site or at an appropriate medical facility. I authorize NWYC staff or nurses to administer prescription and over-the-counter medications that have been signed in and administer First Aid (including over the counter medications, e.g., Tylenol, Benadryl and the like) as required for illness or injury.

ALL MEDICINES—including non-prescription—MUST BE SENT IN THE ORIGINAL CONTAINER! Please bring them in a Ziplock bag with your full name written on it. 

I give permission to the NWYC Staff to use pictures/video or quotes for the purpose of promoting the camp experience.

In accordance with the First Amendment, we reserve the right to our freedom of speech and align our values with the Biblical view of gender. We believe that there are two genders determined by one's physical attributes at birth. As a parent of a camper, you agree to talk with your child about this Biblical standard. We welcome campers that may be struggling with gender dysphoria or other gender-related issues, as we want them to discover the love of God their creator through his Word and his church, however, we reserve the right to organize all campers according to these two genders. By signing this waiver, you waive your right to bring a legal suit for any perceived discriminatory behavior in recognizing these two genders. 

Any controversy arising out of, connected to, or relating to any matters herein of the transactions between me and the above named parties or on behalf of the minor child named below, of this Release/Waiver, or the breach thereof, including, but not limited to any claims of violations of Federal and/or State Law, as well as any common law claims shall be settled by arbitration; and in accordance with this paragraph a judgment based upon the arbitrator's award may be entered in any court having jurisdiction thereof. This agreement shall be construed and interpreted under the laws of the State of Washington. 

The signature of the adult or legal guardian or parent is intended to serve as both liability waiver and medical release.

   

Code of Conduct & Staff/Counselor Commitment

 “Nevertheless, conduct yourselves worthy in a manner worthy of the gospel of Christ.” Philippians 2:17

To ensure a safe, respectful, and positive camp experience for everyone, the following expectations apply to all attendees.

Camper Agreement

As a camper, I agree to:

  • Listen to and follow instructions from camp staff, including Seattle Church of Christ and Warm Beach staff.
  • Treat others with kindness, respect, and dignity.
  • Respect camp property and the property of others.
  • Refrain from behavior that could result in injury or property damage.
  • Attend all scheduled activities, arrive on time, and remain for the entire event.
  • Follow the buddy system at all times.
  • Inform an adult leader before leaving the main event area.
  • Report any concerns or property damage to an adult leader immediately.
  • Follow the dress code and phone policy (phones used outside of policy will be confiscated).
  • Be in cabins by 10:00 PM and observe lights out at 11:00 PM.
  • Have an adult present in public areas after dark.

As a camper, I also agree that I will not:

  • Possess weapons or fireworks of any kind.
  • Purchase, possess, consume, or distribute alcohol, illegal drugs, tobacco, marijuana products, or related paraphernalia.
  • Engage in sexual activity or inappropriate romantic behavior (including flirting, holding hands, kissing, etc.).
  • Use profanity or degrading language.
  • Bully, harass, or engage in physical roughness.
  • Enter or gather in the sleeping areas of the opposite gender.
  • Sneak out, go off-site without permission, or participate in pranks.

[Initial]

Staff/Counselor Commitment

As a counselor, I commit to upholding and supporting this Code of Conduct by:

  • Modeling the standards of behavior outlined above at all times.
  • Clearly communicating expectations to campers.
  • Providing consistent supervision.
  • Addressing violations promptly, fairly, and respectfully.
  • Holding campers accountable in a way that promotes safety, growth, and responsibility.

I understand that my role is not only to set the example, but also to actively ensure these expectations are followed so that every camper has a safe and positive experience.


Today's Date: June 19, 2026 

First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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