Toni’s Camp Registration Form

Registration for Toni’s Camp Retreat 2026 is now open.

A few notes:

• All registration is being handled online with electronic signatures accepted.
• Please read the document as you are completing and signing each page.
• Your health insurance card is needed and can be easily uploaded when registering.
• Campers will need to input all medications into the form.
• Campers are required to provide the Camper Health History Form and Camper Healthcare Recommendation form signed by your physician. These documents can be downloaded from our event page or at the end of registration. They must be fill out; signed and returned.
• Camper applications are not complete until all forms are returned to: Maggie Rousseau, mrousseau@archatl.com; or mail 2401 Lake Park Drive, Smyrna, GA 30080.

If you have any questions, please contact Maggie Rousseau; mrousseau@archatl.com.

I. PARTICIPATION CONSENT

I understand and certify that my/my child’s participation in the and its activities at Camp Twin Lakes is completely voluntary. I have familiarized myself with the RCAA Administrative Services, Inc. program and activities at Camp Twin Lakes in which I/my child will be participating. I recognize that certain hazards and dangers are inherent in these activities, which may include, but not limited to, the activities of horseback riding, high and low elements ropes course, swimming, archery, gardening, cooking, biking, sports, lake swimming, and boating. I acknowledge that although RCAA Administrative Services, Inc. and Camp Twin Lakes have taken safety measures to minimize the risk of injury to camp participants, RCAA Administrative Services, Inc. and Camp Twin Lakes cannot insure or guarantee that the participants, equipment, premises, or activities will be free of hazards, accidents, or injuries. I recognize and have instructed my child in the importance of knowing and abiding by the rules, regulations, and procedures for the RCAA Administrative Services, Inc. program at Camp Twin Lakes. Further, I attest that my health insurance will cover any medical and hospital expenses that I/my child incur, and I have received approval from a doctor authorizing me/my child to participate in RCAA Administrative Services, Inc. activities at Camp Twin Lakes. I also agree to inform RCAA Administrative Services, Inc. of any activities in which I/my child may not participate. I understand and agree that my child will be in an environment that involves elements related to nature, camping or community living, such as insects and insect bites, sun exposure, or communicable illnesses.

II. LIABILITY RELEASE

I, the undersigned, understand that occasionally accidents occur during camp activities and that participants may sustain serious personal injury and property damages as a consequence thereof. Knowing the risks of camp activities, nevertheless, I agree to assume those risks and by signing this liability release, I intend to legally bind myself, my minor children, my heirs, executors, and administrators. I hereby release and forever discharge RCAA Administrative Services, Inc. and Camp Twin Lakes, and any of their clergy, pastors, volunteers, officers, directors, employees, partners, shareholders, board members, servants, agents, and assigns from and against all claims, causes of action, damages, losses, and/or expenses arising out of or relating to any injury, illness, or loss of any kind, known or unknown, including but not limited to injuries to property or person, to me/my child during or related to my/my child’s attendance in the RCAA Administrative Services, Inc. program at Camp Twin Lakes.

III. MEDIA RELEASE

I do give RCAA Administrative Services, Inc., Camp Twin Lakes, and all authorized representatives of Camp Twin Lakes the right to interview and/or to take photographs, audio or audio-visual recordings of me/my child to be used in promotional, educational or fundraising materials including, but not limited to videotapes, pamphlets and brochures. I understand my/my child’s name may be used in connection with these materials. By signing this media release, I intend to legally bind myself, my minor children, my heirs, executors, and administrators. RCAA Administrative Services, Inc., Camp Twin Lakes, and all authorized representatives of Camp Twin Lakes shall have the right to use photographs or other images of me/my child in promotion, educational or fund-raising materials. I acknowledge that RCAA Administrative Services, Inc., Camp Twin Lakes, and all authorized representatives of Camp Twin Lakes shall have all rights of copyright in and to such photographs and videotapes and may use such copyright fully. I also hereby release RCAA Administrative Services, Inc., Camp Twin Lakes, and all authorized representatives of Camp Twin Lakes including its officers, agents and employees from all liability connected with the taking and use of these materials as is authorized by RCAA Administrative Services, Inc., Camp Twin Lakes, and all authorized representatives of Camp Twin Lakes. In addition, I waive all rights, interest or claims for payment in connection with any exhibition or release of these materials. This consent is voluntary, and I give it in the interest of public information, education, the furtherance of the goals of these institutions, or other lawful purposes. I acknowledge that I have legal authority to sign this form on behalf of the minor whose name is mentioned above.

IV. PROGRAM AND OUTCOMES EVALUATION

I do give RCAA Administrative Services, Inc. and Camp Twin Lakes permission to survey me/my child in confidential and voluntary program evaluation at Camp Twin Lakes. I understand that my/my child’s name will not be used in conjunction with surveys and the data collected will be used to improve programming at Camp Twin Lakes and other camps and programs.

V. DISPUTES

I agree that any dispute concerning, relating, arising out of or referring to the subject matter of this contract shall be resolved exclusively by binding arbitration in Atlanta, Fulton County, Georgia. The arbitration shall be administered by JAMS and conducted before a single arbitrator in accordance with the JAMS Rules. The arbitrator shall have exclusive authority to resolve any dispute relating to the interpretation, applicability, enforceability, conscionability, or formation of this contract, including but not limited to any claim that all or any part of this contract is void or violable.

Medical Matters

I hereby warrant that to the best of my knowledge, my participant is (I am) in good health, other than chronic conditions listed below, and I assume all responsibility for the health of the participant. (Of the following statements pertaining to medical matters, sign only those that are applicable.)

EMERGENCY MEDICAL TREATMENT:

In the event of an emergency, I hereby give permission to transport my participant to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact my emergency contact (EC):

MEDICATIONS:

Do not put medication of any kind in the suitcases. Under NO circumstances is the participant to be responsible for his own medication. No medication, prescription or non-prescription, is allowed in the cabins. This rule applies to both campers and volunteers and is for the protection of all.

ALL medication must be sent to camp in the original containers. We must have complete labeling and physicians instructions. Please send only the necessary amount of medication needed for the Toni’s Camp weekend.

Special Medical Information

We will take reasonable care to see that the following information will be held in confidence.

By signing this Release, Waiver, Indemnification, and Health Affirmation below, I intend to be legally bound hereby, for myself, my minor children, my wards, my heirs, executors, administrators, successors, and assigns, and in consideration of Camp Twin Lakes, Inc. (“CTL”) permitting me/my child/my ward to attend and participate in activities at Toni’s Camp Retreat and CTL’s facility (collectively “Camp Twin Lakes”), I hereby release and forever discharge CTL, RCAA Services Inc. and any of their clergy, pastors, volunteers, officers, directors, employees, and agents (the “Released Parties”) from and against any and all damages of any kind whatsoever arising out of any injury, illness, infirmity, disease, or loss of any kind, personal or property, to me/my child/my ward during or related to my/my child’s/my ward’s attendance at a camp at Camp Twin Lakes.

I understand and certify that my/my child’s/my ward’s participation in Toni’s Camp Retreat and its activities at Camp Twin Lakes is completely voluntary and I have familiarized myself with the Toni’s Camp Retreat program and activities at Camp Twin Lakes in which I/my child/my ward will be participating. I recognize that certain hazards and dangers are inherent in Camp Twin Lakes activities and programs, and I acknowledge that the Released Parties cannot ensure or guarantee that the participants, equipment, premises and/or activities will be free of hazards, accidents and/or injuries. I further recognize and have instructed my child or my ward, to the extent my child or ward will be attending and participating in activities at Camp Twin Lakes, in the importance of knowing and abiding by the rules, regulations, and procedures for Camp Twin Lakes. I also agree to defend, indemnify and hold the Released Parties harmless from and against any and all damages, costs, claims, demands, actions or causes of action sustained by any other person as a result of my/my child’s/my ward’s participation at Camp Twin Lakes, whether caused in whole or in part by the negligence of the Released Parties; provided, however, that this provision shall not operate to require indemnification of any gross negligence or willful misconduct of the Released Parties. Further, I attest that my health insurance will cover any medical and hospital expenses that I/my child/my ward incur and that I have received approval from a doctor authorizing me/my child/my ward to participate in the activities at Camp Twin Lakes. I further agree to inform Camp Twin Lakes of any activities in which I/my child/my ward is not to participate.

I have read and hereby accept the conditions described above. As an adult applicant, or the legal guardian of a minor applicant, I also give permission for myself or the minor child or ward to be treated by a doctor if needed.

Dear Parent and Student,

Since 2001, The Archdiocese of Atlanta has sponsored camp for youth and adults with a variety of disabilities. Groups of youth and young adults are invited to serve as counselors. This typically involves a one to one relationship with a camper, or helping to facilitate activities. Ample support is offered from adult staff, nursing staff, and Archdiocese of Atlanta clergy. The day is full of fun and hard work. It is a spiritual blessing for all participants. Students who complete the program can receive up to 40 service hours. The Contract for Minor/Student Volunteers follows:

• No alcohol or drugs at camp
• No medication in cabins
• No smoking, or vaping while on the bus and/or at camp
• No girls in boys’ cabins and no boys in girls’ cabins
• No inappropriate demonstrations of affection
• Treat all participants, staff and leaders with respect
• Be on time for all meals and activities
• Follow all established guidelines
• Parked cars are “off limits” at all times
• Cell phones and car keys will be checked in at the beginning of the retreat

I understand my parents will be notified immediately if any of these rules are broken and they will be asked to pick me up from Toni’s Camp/Camp Twin Lakes. This will be based upon the Director’s discretion.

Daily Living Skills

Please give us as much information as possible. We need to know where assistance is needed and what the participant.

Anyone associated with the Disabilities Ministry is expected to dress in good taste and in a manner which reflects the atmosphere of the Archdiocese of Atlanta. Modesty, cleanliness, and appropriateness are expected at all times.

Dressing in good taste is defined as follows:

1. Undergarments are not displayed (e.g. holes, tears, or outer garment material do not reveal undergarments, and bra straps are concealed by outerwear). Any sleeveless blouse or shirt must have a shoulder strap that is at least three fingers wide.
2. Shorts, skirts, and dresses are at a length that will allow the wearer’s fingertips to touch the garment when arms and hands are fully extended, while standing. All forms of clothing cover the wearer’s midriff, and, for females the chest/bust/cleavage area as well. The length of garments worn on the upper torso (i.e. shirts, tanks, blouses, sweaters) must cover or be covered by the wearer’s waist band while standing.
3. Clothing must be worn that covers and rests upon or above a wearer’s hips. Bare feet are prohibited. Flip flops/sandals are highly discouraged. Hats are not permitted for male communicants during Mass. Clothing which displays alcohol, tobacco products, illegal drugs, satanic symbols, and inappropriate language and/or symbols, is not permitted during Ministry sponsored or supervised activities.

Compliance with directives of ministry officials in regards to the dress code is expected during ministry-sponsored or supervised activities. Failure to comply will result in disciplinary action up to and including immediate removal from ministry volunteer and service registries.

THIS FORM TO BE SIGNED BY ALL PARTICIPANTS

I have read and agree to abide by the dress code as required by the Disabilities Ministry of those who participate in ministry sponsored or supervised activities.

Adult Volunteers:

All volunteers in the Archdiocese of Atlanta are required to be approved through the Safe Environment Program.

All applications must be completed by {Safe environment:148}.

Adult Volunteers who have NOT been approved in the past 5 years, please register for VIRTUS:

Go to https://www.virtusonline.org/virtus/.

1. Click the green First-Time Registrant box on the left hand side of the screen.
2. Select Begin the registration process.
3. Select Atlanta, GA (Archdiocese) from the drop down menu.
4. Create User ID and password. Do not use a shared email address.
5. Complete personal information.
6. Select primary location, role, and title. (Toni’s Camp Retreat)
7. Let us know if you are involved with more than one location.
8. Select a Protecting God’s Children session from the list.

If you have trouble with VIRTUS registration, please contact Gina Garcia in the Office of Safe Environment at 404-920-7552 or ggarcia@archatl.com.

A background check will be emailed to you are the address provided in your application.

Any questions please contact:

Maggie Rousseau
Director, Disabilities Ministry
mrousseau@archatl.com
404-920-7682