For the safety of everyone involved with Camp Agape Northwest, we require a background check for all volunteers and everyone on site who is age 18 or older.
The information requested below will only be used to complete the background check and will not be kept, shared or referenced. We will only be looking for things that could possible put families or children at risk during camp. Thank you for your cooperation to insure the safety of all our campers.
Per Camp Agape Northwest Policy, background screens are required for all adult campers and volunteers over the age of 15. This information is kept secure and private by Camp Agape Northwest. If you have questions please contact us. I understand that any falsification, misrepresentation, or incompleteness in this disclosure is alone grounds for disqualification or termination. The information that I have provided may be verified, if necessary, by contacting persons or organizations named in this application. I hereby authorize contact of references and authorize Camp Agape Northwest to conduct a national background screen. If accepted, I will abide by the standards set forth by Camp Agape Northwest. I attest that the above statements and responses to background check questions in the form are true and complete to the best of my knowledge.
For the safety of our campers, all staff must be healthy in order to attend Camp Agape NW.
For the safety of our campers, all camp attendees must be healthy in order to attend Camp Agape Northwest. I understand that if I have been exposed to a contagious disease, or feel that I, or my child(ren) are coming down with a cold, flu, or other illness I will not come to camp until a physician can confirm I or my child(ren) are not contagious. I understand that if I arrive at camp sick I will most likely be sent home at my expense. I understand that if I start to feel sick at camp, or am experiencing any symptoms out of the ordinary, I am required to contact a camp medical staff immediately. It may be something simple like exhaustion or allergies, or it may be coming down with something. The medical team will determine what action we need to take.
I authorize the sharing of my and/or my child's and family's private health information, including: date of birth, health insurance, allergies, diagnoses, child's primary medical facility and phone number, child's primary doctor(s) with Camp Agape Northwest staff, camp medical staff and volunteers for the purpose of medical treatment and to aid staff and volunteers in knowing how to best care for my child and family at camp.
By signing this waiver, I give my permission to Camp Agape Northwest Staff and medical team to obtain medical care on my behalf, or on behalf of my child.
As my, and/or my children’s attendance at Camp Agape Northwest is a privilege, by signing this waiver, I release Camp Agape Northwest, including its trustees, employees and agents, from any physical injury, including death or illness while at camp, including any camp sponsored travel to and from camp, or camp sponsored activity on or off camp property, in consideration of the privilege.
I give Camp Agape Northwest permission to photograph and use pictures or visual and audio tapes of the person(s) represented in this application in professional and fund-raising activities. On occasion, with this permission, participant photographs may be included in a bulletin board, video, newsletters, camp album, personal photographs, or in interactions with media. I give permission for my family, together or individually, or in conjunction with others to be photographed during Camp Agape Northwest. I understand these images will remain the property of Camp Agape Northwest, and they may be used now, or in the future for promotional and/or educational purposes, in any medium for publicity purposes, including without limitation, for purposes of illustration, promotion, advertising and trade. These photos may also be posted to Camp Agape Northwest official social media accounts.
I understand that once Camp Agape Northwest discloses this information and/or material, the person or organization that receives it may re-disclose it, and privacy laws may no longer protect it.
I understand that I and/or my children may appear in photos that end up posted to social media sites, including but not limited to Facebook and Instagram. Camp Agape Northwest has provided training to staff, instructing that this should only be done with permission, positive intentions, and without directly tagging a family or naming a child. We cannot ultimately control the social media accounts of our volunteers, but will attempt to assist you in removal of something that your family does not want posted if you email email@example.com
Camp Agape Northwest Liability Statement
At Camp Agape Northwest we strive to the highest standards of safety and wellbeing-physical, emotional and mental. We require all volunteers and families support the safety of all and lead by example following the safety rules listed below:
I agree to respect and abide by these rules, if I do not abide by the above rules I release Camp Agape Northwest from all liability should injury, loss or damage of property, or legal action from a third party occur.
I have read and understand this document and policy as stated above, and I am signing it freely. I understand the legal consequences of signing this document and that I may forfeit my family’s time at camp if the above rules are not followed.