APEX Info, Waiver, And Registration Packet

8/7/2019 APEX Info, Waiver, And Registration Packet

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APEX ADVENTURE PROGRAM Info Sheet.This summer, join APEX adventures and experience some of the most exciting wilderness areas that the Carolinas have to offer!Experienced and certified outdoor guides will be leading a series of outdoor expeditions that will offer both challenge and reward toparticipants of all ability levels. This summer, APEX offers 5 sessions of 4 days each. Please read the following informationregarding APEX Adventure Program.Where will we be going?

Each day of the session will include a different activity. Each trip will meet in the Langston Charter Middle School parking lot wherthe APEX bus will be awaiting you.

Each Monday, the APEX. bus will be headed over the Blue Ridge Mountains for a hike in some of the highest and mostgorgeous mountains in the Appalachian range. Students will experience breathtaking views and may even get a chance totake a dip in one of many pristine swimming holes.

Each Tuesdays activity will include mountain biking in North Carolinas DuPont State Forest. Participants will experiencesome of the Souths most popular single-track riding! Students are asked to provide their own mountain bikes in goodworking condition and helmets are required. Mountain bikes should have at least 10 working gears and all-terrain knobbytires. Transportation for the bikes will be provided to and from the destination from LCMS.

On Wednesdays, APEX will head into the mountains again for another day of hiking where participants will get to see moregreat views, including babbling creeks, rushing rivers, and cascading waterfalls.

On Each Thursday of the program, the APEX bus will be travelling to the Nantahala River of North Carolina where studentswill get to experience one of the most popular whitewater runs in the United States! The Nantahala River is considered to ba class II-III whitewater river meaning that it is exciting yet forgiving and a perfect introduction to whitewater for middleschool aged young people.

What time will we be meeting at LCMS and what time will the APEX bus return?

Monday through Thursday, trips will leave at 8:00. Arrival times back to Greenville will vary but well plan on being back between 6:00 and 6:30.What Should Each Student Bring?

Students should bring a lightweight day back pack (most book bags are fine) with them each day. Below is a list of items they shouldbring with them.

A sturdy pair of shoes A change of clothes and a towel. We may be getting wet (on purpose or not!) A light rain jacket Plenty of water. (sturdy water bottles or hydration packs are recommended)

2-3 Plastic grocery bags for trash, wet clothes, barf, etc.

Electronics (cameras, I-pods, games, etc) but L.E.A.P. will not be responsible for those items A Fully functioning mountain bike for Tuesdays mountain bike trip. (APEX can provide mountain bikes if needed.) Helmet for Tuesdays mountain bike trip A few extra dollars just in case things go longer than expected

What are the Available dates for 2011?

Session 1: June 6-9, Session 2: June 13-16 Session 3: June 20-23 Session 4: July 11-14 Session 5: July 25-28

What is the Cost and how do I sign up?

Per Session: Price includes transportation, lunch, and 4 days of adventure: $275.00. Per Day: Price includes transportation, lunch, and that days adventure: $80.00Please turn your completed information packet plus a check for the appropriate amount to the SCHOOL STORE as you come in orto Matt Griffin at Langston Charter Middle School.Please direct ALL QUESTIONS to Matt Griffin [email protected] by phone at 864-630-1504.
mailto:[email protected]:[email protected]:[email protected]:[email protected]


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APEX ADVENTURESRelease Authorization & Medical Form

Health and Medical WaiverThe campers parent/legal guardian warrants that the camper is physically fit and able to participate in the campactivities, and consents to any employee, agent, or other personnel affiliated with the Appalachian Rivers Raftcompany and/or Appalachian Expeditions Adventure Program to seek medical attention and treatment or othermeasures deemed necessary or advisable in the discretion or judgment of Appalachian River Raft Companyand/or Appalachian Expedition Adventure Program Personnel for the above-named camper in the event of anaccident, sudden illness, or other condition that occurs while the above-named camper is in the care or under thesupervision of Appalachian River Raft Company and/or Appalachian Expedition Adventure Program. Theparent/legal guardian further understands that Appalachian River Raft Company and/or Appalachian ExpeditionAdventure Program Personnel will make reasonable efforts to notify the parent/legal guardian or another parentof the camper in the case of an accident, sudden illness or other condition, but authorizes Appalachian RiverRaft Company and/or Appalachian Expedition Adventure Program Personnel to seek such care or treatment,and for any care or treatment to be administered, even in the event that either parent or legal guardian are notcontacted prior to the seeking or rendering of such, care, treatment, or other measures. The parent/legalguardian signing this form releases Appalachian River Raft Company and/or Appalachian ExpeditionAdventure Program and all Appalachian River Raft Company and/or Appalachian Expedition AdventureProgram Personnel, and the owners of any properties made available for camp activities from and of anyliability for such decisions or actions in seeking medical care, and agrees to pay all the costs and fees for themedical care or treatment authorized under this Emergency Medical Authorization.Liability WaiverThe parent/legal guardian agrees to hold harmless Appalachian River Raft Company and/or AppalachianExpedition Adventure Program and all Appalachian River Raft Company and/or Appalachian ExpeditionAdventure Program Personnel, and the owners of any properties made available for camp activities, from anyclaims, damages, losses and/or expenses arising out of participation in camp activities and to assume all liabilityfor any and all personal injury, bodily injury, illness or property damage that occurs as a result of participationin such camp activities including but not limited to hiking, mountain biking, rock climbing, and whitewaterrafting. The parent/legal guardian also warrants that participation in this camp is voluntary and that the camperand the parent/legal guardian understand the inherent risks involved in camp activities, and the camper agrees toobey all rules and policies mandated by camp personnel.

Participant Name (please print)_________________________________________________________________________________________Parent or Guardians Name (please print)__________________________________________________________________________________________Parent or Guardians Signature Date

_____________________________________________ _______________________________


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APEX Adventures

Release authorization & medical form

Student InformationName ________________________________________Birthdate & Year in School ______________________________________________________Social Security Number (This information will be kept secure)

_________________________________________________Emergency contact information__________________________________________________________________________________________________________________________________________________________________Medical history: allergies, physical limitation(s) & special considerations__________________________________________________________________________________________________

__________________________________________________________________________________________________Doctors contact information__________________________________________________________________________________________________Contact Family

Name_____________________________________________________________________________________________Address______________________________________________________________

______________________________________________________________Parent 1 work phone ______________________________ Parent 2 work phone______________________________Evening phone ___________________________________ Cell or other phone_________________________________Email address_______________________________________________________________________

IMPORTANT: PLEASE PROVIDE A FRONT/BACK COPY OF INSURANCE CARD


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APEX ADVENTURES

Whitewater Rafting Release Form

FILL THIS FORM OUT ONLYIF PARTICIPATING IN THE WHITE WATER RAFTING ACTIVITYDate_____________________________

APPALACHIAN RIVERS RAFT CO. INC. WAIVER OF RELEASEREAD CAREFULLY

In consideration of Appalachian Rivers Raft Co. Inc. furnishing service and /or equipment to enable me toparticipate in a white-water raft trip, I agree as follows:I fully understand and acknowledge that whitewater rafting has inherent risks, dangers, and hazards that arebeyond the control of the guides, agents, officers and employees of Appalachian Rivers Raft Co. Inc. I furtherunderstand that the risks that are inherent to whitewater rafting include loss of, or damage to personal property,severe bodily injury or death. I agree that in participating in whitewater rafting activities and using equipmentbelonging to Appalachian Rivers Raft Co. Inc. I agree to assume all risks, and dangers and all responsibility forany and all losses, injuries or death which I may suffer. I, on behalf of myself, my heirs, and my personalrepresentatives hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify

Appalachian Rivers Raft Co. Inc. and its guides, agents, officers and employees from any and all claims,actions, or losses, property damages, bodily injuries or death which may arise out of my use of AppalachianRivers equipment or my participation in whitewater rafting activities supervised or conducted by AppalachianRivers Raft Co. Inc.I HAVE READ THE ABOVE WAIVER AND, BY SIGNING IT, AGREE THAT IT IS MY INTENTION TOEXEMPT AND RELIEVE APPALACHIAN RIVERS RAFT CO. INC. FROM LIABILITY FOR PROPERTYDAMAGE, PERSONAL INJURIES OR DEATH THAT I MAY SUFFER DURING MY PARTICIPATIONIN WHITEWATER RAFTING ACTIVITIES.Participants Name (Please Print) Age Parent/Guardian Name (Please Print)

________________________________ _______ _____________________________________Participants Signature Parent/Guardian Signature:

________________________________ _____________________________________


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APEX ADVENTURES REGISTRATION FORM

Participant Name_______________________________________________________Parent Name__________________________________________ Phone Number____________________________Payment:

75.00 per full week (1 week includes all 4 days of activities)If paying per week, please list the week(s) that your child will be attending:________________________________________________________________

80.00 for per day

If paying per day, please list dates that your child will be attending:

________________________________________________________________

Make your checks payable to APEX ADVENTURES Refunds may ONLY be given only in cases of sickness, injury, family emergency or camp cancellation.

Each L.E.A.P. Session runs Monday through Thursday. Below are the dates for the available sessions, and the activitiesthat will be offered each day of the session.Dates Available:-June 6-9-June 13-16-June 20- 23-July 11-14-July 25-28Activities available:-Mondays: Hiking-Tuesdays: Mountain Biking-Wednesdays: Hiking-Thursdays: Whitewater Rafting-more weeks may be added as the sessions above fill.-A 6-camper minimum and 12 camper maximum is required to insure that each session will be held.

PLEASE DELLIVER COMPLETED FORM WITH CHECK ATTACHED TO MATT GRIFFIN AT LCMS.For more information, please contact:Matt Griffin at 864-630-1504 [email protected]
mailto:[email protected]:[email protected]:[email protected]:[email protected]

APEX Info, Waiver, And Registration Packet

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