Camp Sweeney
Serving Children with Diabetes for More than 70 Years
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Reunion Release
2023
Summer - First Session
Starts In
This form is for reunion attendees who have received pre-purchased tickets. You will be asked some basic contact information, but you will not be required to make a payment.
Releases are required for each adult and each minor's guardian. Sign within this form.
One form per person.
The reunion is for former campers (19 and older), former staff, former board members and their guests. If you are still camper age (under 19), please check out our
Camper Sessions
.
Pre-Purchased Ticket
Is this ticket for
*
Ticket for Alumni
Ticket for non-Alumni Adult
Ticket for child (under 18)
Name
*
First
Middle
Last
Suffix
Alumni Status - Check all that apply
*
Former Camper
Former Counselor
Former Medical Staff
Former Other Staff
Former Board Member
Name of the Alumni you will be accompanying
*
Has the Alumni already bought tickets?
*
Yes the Alumni already bought tickets.
No the Alumni has not bought tickets
Don't know
Alumni Decade - Check all that apply
*
1950's
1960's
1970's
1980's
1990's
2000's
2010's
2020's
Team Affiliation
*
Alpha Team
Beta Team
No Team (prior to 1989 camper)
Can we tell people you are coming?
*
Your name, alumni status, and decades only - no contact information
Yes
No
Mailing Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Email
*
Phone
*
Tee-Shirt Size
*
YS
YM
AS
AM
AL
AXL
AXXL
AXXXL
RELEASE - Adult
INDEMNITY & RELEASE - PLEASE READ CAREFULLY
I am an Adult person, of at least 18 years of age, participating in this event, acting on behalf of myself and my minor children, if any. I understand that use of the Southwestern Diabetic Foundation and/or Camp Sweeney facilities and participation in facility programs and events creates a risk of injury, or exposure to communicable diseases, and therefore expressly consent to and assume all risks associated with use of the Southwestern Diabetic Foundation and/or Camp Sweeney facilities and participation in their programs and events, even those which are not specifically foreseeable, and release, indemnify, defend, and hold harmless Southwestern Diabetic Foundation, Camp Sweeney, and their directors, officers, employees, and agents (the “Released Parties”), from any loss, liability, claim, action, or suit (“Claim”) arising or alleged to arise from (A) bodily injury or personal injury suffered by any party on the Southwestern Diabetic Foundation and/or Camp Sweeney, (B) bodily injury or personal injury caused by a participant in facility programs and events and/or (C) property damage or loss suffered in connection with, or as a result of, my or my minor child’s use of Southwestern Diabetic Foundation and/or Camp Sweeney facilities or participation in their programs and events (including off-site trips), regardless of whether such claims and actions are founded in whole or in part upon alleged negligence of the Indemnified Parties. I specifically and explicitly release, indemnify and hold harmless the Released Parties (defined above) from all liability, claims, demands, actions or rights of action, or damages of any kind including but not limited to those arising out of or relating to any one or more of the Released Parties’ own sole, contributory and/or comparative negligence. I knowingly and voluntarily release, indemnify and hold harmless the Released Parties from any such claims. I have read and understand the above waiver. This Indemnity and Release is made and is performable in Cooke County, Texas. I agree that exclusive venue for all claims arising from or related to this agreement, including claims for personal injury, lies in Cooke County, Texas. I understand that pictures, interviews, live and recorded internet broadcasts, internet pictures and video may be taken during this event, and I give the Southwestern Diabetic Foundation, Inc. permission to use pictures, live broadcasts and recordings of me in any of its publicity campaigns and/or websites. I have read and agree to all the above releases and authorizations with regards to my participation in this event at Camp Sweeney.
Type in your name
*
By typing in your full name, you agree to all of the above releases and authorizations.
RELEASE - Minor
INDEMNITY & RELEASE - PLEASE READ CAREFULLY
I am the legal guardian of the above referenced minor who will be participating in this event, and I understand that use of the Southwestern Diabetic Foundation and/or Camp Sweeney facilities and participation in facility programs and events creates a risk of injury, or exposure to communicable diseases, and therefore expressly consent to and assume all risks associated with use of the Southwestern Diabetic Foundation and/or Camp Sweeney facilities and participation in their programs and events, even those which are not specifically foreseeable, and release, indemnify, defend, and hold harmless Southwestern Diabetic Foundation, Camp Sweeney, and their directors, officers, employees, and agents (the “Released Parties”), from any loss, liability, claim, action, or suit (“Claim”) arising or alleged to arise from (A) bodily injury or personal injury suffered by any party on the Southwestern Diabetic Foundation and/or Camp Sweeney, (B) bodily injury or personal injury caused by a participant in facility programs and events and/or (C) property damage or loss suffered in connection with, or as a result of, my or my minor child’s use of Southwestern Diabetic Foundation and/or Camp Sweeney facilities or participation in their programs and events (including off-site trips), regardless of whether such claims and actions are founded in whole or in part upon alleged negligence of the Indemnified Parties. I specifically and explicitly release, indemnify and hold harmless the Released Parties (defined above) from all liability, claims, demands, actions or rights of action, or damages of any kind including but not limited to those arising out of or relating to any one or more of the Released Parties’ own sole, contributory and/or comparative negligence. I knowingly and voluntarily release, indemnify and hold harmless the Released Parties from any such claims. I have read and understand the above waiver. This Indemnity and Release is made and is performable in Cooke County, Texas. I agree that exclusive venue for all claims arising from or related to this agreement, including claims for personal injury, lies in Cooke County, Texas. I understand that pictures, interviews, live and recorded internet broadcasts, internet pictures and video may be taken of the minor during this event, and I give the Southwestern Diabetic Foundation, Inc. permission to use pictures, live broadcasts and recordings of the minor in any of its publicity campaigns and/or websites. I have read and agree to all the above releases and authorizations with regards to the minor’s participation in this event at Camp Sweeney.
Guardian's Name
*
By typing in your full name, you agree to all of the above releases and authorizations.
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