Weekend Retreats

Camp Gray is a great place for many campers, but it is not the right camp for every child. Below you’ll find some succinct requirements that match up with what Camp Gray provides and the values that we hold. These statements are intended to help you discern if Camp Gray is right for your children. If you would like to discuss any of these in further detail please call 608.356.8200.

DEVELOPMENTAL - Campers must be capable of effective, sustained, and developmentally appropriate interactions.

RELATIONAL - Campers must be a positive addition to the communal life of his/her cabin during their stay.

MORAL - Camp Gray is a Catholic organization that abides by and upholds the teachings of the Catholic Church. Camp Gray follows all policies and directives of the Diocese of Madison. All decisions about the general welfare of Camp Gray will be made with this in mind.

HEALTHCARE NOTIFICATION POLICY

Our healthcare staff will make an effort to contact you by phone, using the phone numbers provided on this form, if your child has need of out-of-camp healthcare. Because of timing and scheduling conflicts, we cannot promise that we will be successful in reaching you. Please make sure that we know how to reach you during your child's stay. In addition to phone contact, we will provide you with a written summary about out-of-camp observation or treatment. We generally do not contact you if your child is seen in the camp health center for routine problems that do not require physician referral. The decision to consult you for routine, in-camp healthcare is determined on a case-by-case basis by our provider. You will typically be notified if your child visits the health center with a repeated complaint, or if your child's condition does not improve in a reasonable amount of time.

PARENT/GUARDIAN AUTHORIZATION

This health history is correct and complete as far as I know. The person described herein has permission to engage in all camp activities except as noted. I hereby give permission to Camp Gray to provide for me/my child routine health care (including over-the-counter medications authorized on this form), administer prescribed medication in accordance with the written instructions of the health practitioner, and administer or obtain emergency medical treatment (including use of epinephrine for the treatment of allergic reactions and severe asthma reactions that are unresponsive to an inhaler). I agree to the release of any records necessary for insurance purposes. I give permission to the camp to arrange necessary transportation for me/my child.

I hereby grant permission to Camp Gray staff, as 'personal representative' of my child while enrolled in camp, to receive any records or results of medical treatment given to me/my child while enrolled at Camp Gray.

In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp to secure and administer treatment, including hospitalization, for the person named above.

In consideration for Participants being permitted to participate in Camp Gray, Inc. (“Camp Gray”) programs, summer camps, events, or retreats and/or use Camp Gray’s facilities or equipment, Participant, Parent(s) and/or Legal Guardian(s) of a minor Participants, agree as follows:

1. ACKNOWLEDGEMENT OF RISK. Participant(s), Parent(s) and/or Legal Guardian(s) acknowledge and fully understand there are inherent risks of serious injury or death associated with tower climbing, hiking, backpacking, biking, swimming, canoeing, and other activities associated with Camp Gray. These inherent risks include, but are not limited to: encountering natural dangers such as falling rocks or objects, irregular or uneven ground, or unseen and unmarked objects; and drowning or serious injury in and around water due to water movement, subsurface conditions, cold water temperature, water impurities, and the like. Inherent risks also include acts or omissions of other participants; the condition of equipment or property; weather conditions (such as lightning strikes, sunburn, rain or hail storms, tornadoes, and the like); contact with plants, animals or insects; the risk of Participant engaging in unauthorized activities; Participant’s physical condition; Participant’s own acts and omissions; conditions of roads, trails waterways or terrain; the administration and availability of first aid and emergency treatment; and consumption of food or drink by Participant. Participant, Parent(s) and/or Legal Guardian(s) further acknowledge that all inherent risks associated with activities at Camp Gray cannot be described in this document.

2. PARTICIPANT WAIVER OF RIGHTS AND RELEASE OF LIABILITY. Participant(s), Parent(s) and/or Legal Guardian(s) hereby release, waive, discharge and covenant not to sue Camp Gray, its employees, officers, directors, and/or agents (collectively, the “Camp Gray Releasees”) from all liability to the Participant, Parent(s), and/or Legal Guardian(s), their personal representatives, assigns, heirs and next of kin, for any and all loss or damage, and any claim or demands therefore, on account of injury to the person or property or resulting in the death of Participant, Parent(s) and/or Legal Guardian(s), arising out of or related to participation in Camp Gray programs, summer camps, events or retreats and/or use of Camp Gray facilities and equipment, including but not limited to those risks described in paragraph 1 above, whether caused by the negligence of the Camp Gray Releasees or otherwise. This waiver of rights and release of liability does not include injury, damage, death or loss as a result of the intentional or reckless acts of the Camp Gray Releasees.

3. INDEMNIFICATION AND HOLD HARMLESS. Participant, Parent(s) and/or Legal Guardian(s) shall indemnify and hold harmless the Camp Gray Releasees against all losses, damages, monetary awards and expenses, including all costs and attorneys’ fees, incurred in connection with any and all claims of negligence on the part of the Camp Gray Releasees, brought by Participant, Parent(s) and/or Legal Guardian(s), their heirs, successors, assigns, and legal representatives, for any injury, death, illness, disease, or damage to property, arising from or connected with participation in any Camp Gray program, summer camp, event or retreat and/or use of Camp Gray’s facilities and/or equipment. The indemnification and hold harmless provision does not include losses, damages, monetary awards and expenses, including costs and attorneys’ fees, as a result of the intentional or reckless acts of the Camp Gray Releasees.

4. MISCELLANEOUS. The parties agree that the provisions of this “Waiver and Release of Liability; Indemnification and Hold Harmless Agreement” (“Agreement”) shall be deemed severable, and that the invalidity or unenforceability of any one or more of the provisions of clauses hereof shall not affect the validity or enforceability of the other provisions or clauses hereof except as specifically set forth herein. The terms of this Agreement constitute the entire agreement and understanding between the parties relating the matters covered by this Agreement. This Agreement is made pursuant to and shall be construed under the laws of the state of Wisconsin.

5. OPPORTUNITY TO NEGOTIATE. You are encouraged to carefully review the contents of this “Waiver and Release of Liability and Indemnification and Hold Harmless Agreement” (“Agreement”). DO NOT SIGN this Agreement unless you understand and agree to its terms and conditions. You may wish to consult an attorney. If you wish to NEGOTIATE any of the terms of this Agreement for any modifications, deletions or additions, please contact the Camp Gray Director at 608-356-8200 prior to signing and executing this Agreement. If you do not contact the Camp Gray Director prior to signing and executing this Agreement, Camp Gray understands that you are accepting the terms and conditions set forth above, and that you do not wish to pursue any negotiations regarding the terms and conditions of this Agreement.

6. MEDIA WAIVER. I give permission and consent for Camp Gray to allow photographs and video to be taken during camp session activities. I further give permission and consent that any such photographs or video may be published and used by Camp Gray Inc. and the American Camp Association® and its agents, to illustrate and promote the camp experience, Camp Gray Inc. and its camp programs, or the American Camp Association.

I CERTIFY THAT I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY AND INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS AND ASSUMING SUBSTANTIAL RESPONSIBILITIES BY SIGNING IT, AND THAT I SIGN IT VOLUNTARILY. I FURTHER CERTIFY THAT IF I SIGN BELOW AS A PARENT OR LEGAL GUARDIAN, I AM AUTHORIZED TO DO SO ON BEHALF OF ALL PARENTS AND/OR LEGAL GUARDIANS, AS WELL AS THE PARTICIPANT(S) UNDER THE AGE OF 18.