For Teen Campers Only:
Check those over the counter medications your teen camper may receive on an "as needed" basis during camp. These will be supplied and available from camp staff:
For Teen Campers:
Please click "Next" to continue or "Back" to make changes.
You may cancel your participation 60 days prior to the camp start date and you will receive the entire refund. If you cancel your participation after May 24, 2017, contact us to discuss a partial refund.
Please enter the type of registration for each camper.
* Residential: attend Thursday through Saturday including overnight stays.
* Day: attend on selected day(s) -- does not include overnight stay.
NOTE: Teen Campers should select "Residential."
Given the limited number of sleeping rooms, single adults will need to share their room with another adult or family.
PLEASE REGISTER AN ADULT RESIDENTIAL CAMPER TO STAY WITH YOUR CHILD BEFORE CONTINUING.
Would you like to sponsor an adult adoptee counselor? In order to host one counselor, it costs us $375. Your gift is tax-deductible.
Full payment is due immediately. After you click the Submit button on the next page you will be taken to PayPal payment page. You can pay with a Credit/Debit Card, make an online transfer from a bank, or use your PayPal account.
Please read and agree to the following terms by checking each Yes box.
I understand that members of my family may be photographed or videotaped during Camp Rice. I understand that no person whose image is used will be identified by name and/or address, and the photographs and videos will be used for promotional purposes only by ASIA Families, Inc. I hereby certify that I grant the ASIA Families, Inc., the irrevocable right to use and publish, without compensation, any photographs, video recordings, or motion pictures of my family’s likeness, voice, portrait, testimonial statement, if any, in any and all media and promotion of ASIA Families in connection with my participation in Camp Rice.
I have full knowledge of the risks of being involved with camp activities and understand that I or my family member could be injured during the ASIA Culture Camp, Camp Rice (the Event). I agree to assume all risks of such injury.
I unconditionally release and discharge All Services for International Adoptees and Adoptive Families (ASIA Families), Inc. and all other persons and entities involved with this Event from any and all claims, damages, and expenses that may arise directly or indirectly from my participation in this Event.
Term 3: Parental Consent for Medical Treatment of Teen Campers
The law requires that parental permission be obtained for medical procedures on minors. The following consent form should be signed by parent/guardian so that such procedures may be carried out without delays. However, no major medical procedures will be performed, except in an extreme emergency, without parents or guardians being contacted and fully informed.
I give permission for such diagnostic/therapeutic procedures as may be deemed necessary for my child(ren), and to present information concerning his/her medical condition to other responsible camp staff when requested.
Term 4: Consent for Administration of Approved Medications for Teen Campers
Camper(s) must bring medications taken on a daily basis in their original bottles with clear prescribing directions. Teen campers whose parents are also attending camp may elect to receive any medication taken on a daily basis from their parent while they are at Camp Rice.
I hereby give permission for my child(ren) to receive those medications listed on this form that are prescribed for my teen camper(s). I understand that the medications I have listed will be administered by a designated member of the camp office staff. All medications must be in the original container with the medication name and prescription directions for dispensing typed in English. Only the designated camp staff will be responsible for holding and administering the medications except for inhalers and epinephrine pens.
Please sign below. If using a mouse, click and hold while your sign. If you need to try again, click the "Clear" link found under the right side corner of the signature block.
Please click Submit to complete your registration