Youth Camp Excursion Parental Consent & Waiver

Participant Information

Full Name of Participant Date of Birth Address

Parent/Guardian Information

Parent/Guardian Name Relationship to Participant Contact Number Email

Emergency Contact

Emergency Contact Name Emergency Contact Number Relationship to Participant

Medical Information

Allergies or Medical Conditions Medications Special Instructions

Consent & Waiver

I, the undersigned parent/legal guardian, hereby give permission for my child to participate in the Youth Camp Excursion. I understand that all reasonable measures will be taken to ensure the safety and wellbeing of my child. I acknowledge and accept all risks inherent to participation in camp activities and excursions.

In the event of an emergency, I authorize camp staff to secure medical care for my child as necessary and agree to assume responsibility for any costs incurred. I release and hold harmless the camp, its staff, volunteers, and associated organizations from any and all liability in connection with participation in this event.