Acknowledgment of Risk and Agreement to Follow COVID-19 Protocols

The following form must be filled out by families prior to attending in-person camp. While this is just a copy of the form, we want to provide families an opportunity to become familiar with it prior to signing it while registering online.

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.  

By signing this form, affirms having read, and hereby acknowledges and agrees to the following terms and conditions:

TIC Summer Camp (“TIC”) has put in place preventative measures to reduce the spread of COVID-19, in accordance with Federal and State recommendations and in consultation with County Health Department officials, American Camp Association and CDC; however, I acknowledge that TIC cannot guarantee that my child(ren) and anyone in contact with my child(ren) will not become infected with COVID-19. Furthermore, attending the camp could increase the risk to my child(ren) and to myself of contracting COVID-19.  

I acknowledge the contagious nature of COVID-19 and the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the camp and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand and willingly accept and assume full responsibility for all risks, damages, liabilities, losses and/or expenses of any and every kind involved with or arising from my/camper’s participation in camp. I further understand and agree that this Agreement includes any Claims related to a COVID-19 infection, whether such infection occurs before, during, or after appearing or participating in TIC.

I also hereby certify that I have read and understood TIC’s COVID-19 protocols, shared with me and posted on TIC’s website.

I agree to abide by these protocols, including, but not limited to: 

• responding honestly and accurately to the screening questions each day of the 2021 summer season during which I have a child enrolled in a program at TIC; 

• to keep any symptomatic child at home, as stated in and according to the protocols;  

• to notify the Camp Director or Health Advisor if my child has tested positive for COVID-19 or has been in close contact with someone who has tested positive for COVID-19 up to 14 days after attending TIC Summer Camp;  

• to send with my child each day an appropriate mask that fits him/her/them properly; and

• to instruct my child to follow the camp’s protocols for wearing the mask, washing hands, and staying socially distant, according to directions given by TIC staff. 

I further agree:

• To allow staff to check on my child periodically during the day, including taking their temperature;

• That if my child shows symptoms of COVID-19, TIC staff will escort them to a separate isolation area on campus away from the group, but under supervision, until he or she can be picked up;

• That if my child is symptomatic I will come personally or arrange for another responsible adult to pick that child up as quickly as possible, within the hour, after being informed of my child’s symptom(s).

• If the camper becomes symptomatic, the family agrees to the proper quarantine or procedure as advised by a health care professional.