Kids' Camp - The Light

Quick Facts

Location: Camp Taloali - Stayton, Oregon
Camp Dates:  August  23-26
Cost:  $85
Parent drop-off: Tuesday,  August 23, 2022
  • East River campers transport on ERF Bus
    • Arrive at East River @8:45am
    • Leaving @ 9:00am sharp (travel time: approximately 1 hour 36 min. )
  • Riverside campers transport in vans with Pastor Paul
    • Arrive at Riverside TBA
    • Leaving TBA (travel time: approximately 1 hour 50 min.)
Parent pick-up:  Friday,  August 26, 2022
  • At East River: approximately 12:45pm
  • At Riverside: approximately  1:00pm
  • Full menu is planned. Other foods for special dietary needs must be sent with the camper.
  • Eat breakfast before arriving for transport
  • Use backpack for packing personal belongings
  • Any medications/prescriptions  coming to camp must be in original packaging.  ALL medications will be turned in and dispersed by our registered nurse.
  • “What to Bring” email letter coming soon.
Please fill out one form per child.

List anything that you would like us to know about your child that would help us better meet their learning style and/or needs.
Please note: Kids must turn in both prescription and non-prescription medications with a written schedule to dispense upon arrival.

By submitting this registration, you agree to the following:

Authorization of Consent to Treatment of Minor:

(I) (We), the undersigned, parent(s) of the child listed on this registration, a minor, do hereby authorize East River Fellowship & Riverside Community Church, hereinafter “Agent”, for and on behalf of the undersigned to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician and surgeon licensed under the provision of the Medical Practice Act, whether such diagnosis is rendered at a physician’s office or at a hospital, during all times that the Minor is in the presence of said Agent. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but is given to provide authority and power on the part of our aforesaid agent(s) to give specific consent to any and all such diagnosis, treatment or hospital care which the aforementioned physician in the exercise of his best judgment may deem advisable.

Release of East River Fellowship & Riverside Community Church

(I) (We), the undersigned, parent(s) of the child listed on this registration, shall indemnify, hold free and harmless, assume liability for and defend East River Fellowship & Riverside Community Church, its agents, servants, employees, officers and directors from any and all liability for personal injury or property damage and costs and expenses including but not limited to, attorney’s fee, reasonable investigative and discovery costs, court costs, and all other sums for any claim or action founded thereon, arising or alleged to have arisen out of the child listed on this registration use of the real or personal property belonging to or used by Agent while Minor is in the presence of Agent.

Event Parent Permission

As parent or legal guardian, I give the above-named student my permission to attend "The Light" summer camp and related activities sponsored by Riverside Community Church. In the event of illness or injury, I authorize the camp staff to provide emergency care as needed by camp staff and volunteers, local emergency personnel or hospital, in case I cannot be reached for approval. I understand that the church insurance is secondary to my own primary coverage, for which I am responsible.
I verify that all the above information is accurate and complete. I agree to notify Riverside Community Church of any changes prior to or during the camp session. I understand that the camp does not prepare special meals for the campers.
Photo and video will be taken throughout the camp session as part of the program, I release any media to be used for promotional purposes only.
After submitting your registration, please pay the $85 fee by choosing the "Kids Camp" fund from the dropdown.