Ignite 2026 Release Form

If the attendee is a minor, this form must be completed by a parent/guardian.
Attendee Name Attendee Name First Last
Church Name

Please enter the name of the church attending the Ignite Retreat
Ignite Dates

Please select the dates your group will be attending Ignite.
Church Group Leader Email

Confirm Group Leader Email Address

Please enter the email address of the leader from your church for form tracking purposes.
A copy of this release form will be emailed to the group leader.
Is the attendee a minor (under 18)?

Is the attendee a minor (under 18)? Yes No
Attendee Age
Does the participant have any food allergies/dietary restrictions?

Does the participant have any food allergies/dietary restrictions? Yes No
Please list any food allergies/dietary restrictions:
Does the attendee have any health conditions, physical limitations or special instructions regarding physical activities that we should be aware of? (i.e. Asthma, Back Troubles, Bleeding Disorders, Heart Conditions, Mobility, Pregnancy etc.)

Does the attendee have any health conditions, physical limitations or special instructions regarding physical activities that we should be aware of? (i.e. Asthma, Back Troubles, Bleeding Disorders, Heart Conditions, Mobility, Pregnancy etc.) Yes No
Please describe any limitations, conditions, or special instructions regarding physical activities
Adult / Parent/Guardian Name Adult / Parent/Guardian Name First Last
Relationship to Attendee
This form MUST be signed by a parent or legal guardian. You have indicated above that you are not the parent or guardian of this attendee.

This form will not be valid if not signed by a parent/guardian. Please send this form to the parent/legal guardian to be signed.
Adult / Parent/Guardian Email
I hereby agree to participate and/or give permission as the parent/legal guardian to my son or daughter to engage in all activities at Spruce Lake, including Adventure Program (AP) activities, except as noted above by me. My permission is granted with the understanding that Spruce Lake's trained staff will make every effort to ensure safety and well-being of all participants. However, I understand there are inherent risks of injury associated with AP and outdoor activities (such as hiking, rappelling, belayed climbing, high and low challenge course, zipline and power swing) which, however slight the chances of occurrence, cannot be completely eliminated. These risks include but are not limited to: falls from a height, exposure to severe storms or to weather-related heat or cold, injury from falling objects and injury from collision with other people or objects during activities, and equipment failure. Furthermore, I recognize that, because Spruce Lake Retreat is in a rural location, access to local advanced emergency medical care is limited and emergency response and travel time may seem unduly long relative to urban standards. I also understand that the Spruce Lake Retreat staff cannot provide medical care, with the exception of emergency first aid. I hereby acknowledge, accept, and assume all risks of injury to the above mentioned attendee while they are engaged in Spruce Lake activities. I give permission to be transported in Spruce Lake Retreat vehicles for transportation as needed. Furthermore, I authorize Spruce Lake Retreat to use photographs of myself and/or my child in Spruce Lake publicity. In consideration of my permission granted the herein named attendee to participate in camp and AP activities, I hereby release and covenant with Spruce Lake Retreat that I will never, individually or as a legal guardians of said attendee, institute any action at law or in equity for any personal injuries, or injuries to property, real or personal, caused by or arising out of activities sponsored by Spruce Lake Retreat and its legal representatives.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY

Enter today's date
Would you like to receive discounts and information about summer camp?

Would you like to receive discounts and information about summer camp? Yes, please! No thank you

Ignite 2026 Release Form

If the attendee is a minor, this form must be completed by a parent/guardian.

This form MUST be signed by a parent or legal guardian. You have indicated above that you are not the parent or guardian of this attendee. This form will not be valid if not signed by a parent/guardian. Please send this form to the parent/legal guardian to be signed.

This form MUST be signed by a parent or legal guardian. You have indicated above that you are not the parent or guardian of this attendee.

This form will not be valid if not signed by a parent/guardian. Please send this form to the parent/legal guardian to be signed.