Youth Camp 2021 Camper Consent Form

Camper Name *

First Name Last Name

Church Name *

Church City *

Emergency Contact Name *

Must be different than legal parent/guardian

Emergency Contact Phone Number *

Please enter a valid phone number.

By signing this form I, blanks* affirm that the information submitted online is accurate to the best of my knowledge. I authorize camp staff to consent to medical treatment in the event my emergency contact or I cannot be reached. Iblank* understand that every effort will be made to contact me regarding any medical attention given to my child.

I acknowledge that all tobacoo (including e-cirgarettes and vapes) in addition to any form of alcohol or illicit drugs are strictly prohibited from camp property.

I also understand that participants at Granite Hills Retreat & Conference Ceter are liable for damage caused intentionally or maliciously. Damage caused by a participant will be billed directly to the participant responsible and their legal guardian.

I understand that this is a voluntary activity. Student must be willing to cooperate with the overall spirit and schedule of the camp.

Finally, I understand that every effort will be made to room church groups in the same cabins. However, due to the structure of the camp and the limited number of beds, this is not always possible.

I grant my permission to Arizona Youth Ministries/Arizona Ministry Network to use photographs (individiual or group) and/or multimedia images and recording in the best interest of the Arizona Ministry Network.

What to wear: Shorts must be at least finger-tip length. AZYM tank tops are permitted to be worn due to their modest design. Crop tops, sundresses, spaghetti straps, strapless, and halter-tops will not be allowed. This includes shirts with the sides ripped out or low openings on the sides. No jerseys without undershirts are allowed. Shoes must be worn at all times - expect while in the pool. This does include to and from the pool, as regulated by the state insurance board. Girls and Guys: cover clothing must be worn to and from the pool, as well as in the pool. Dark crew-neck shirts and shorts. Rec Time is often messy. Keep this in mind when you are planning what clothes to bring. You will want to bring older clothes and shoes that you can get wet, and generally dirty. Pajamas are not allowed outside the dorms. Services: What is worn during the day is acceptable. We just ask that you and your clothes are clean.

I have reviewed the camp dress code policies with my child. Camper's signature below confirms his/her agreement to abide by camp policies including dress code.

Insurance Provider *

Group Number *

ID Number *

Policy Holder *

Insurance Phone Number *

Parent/Legal Guardian Name *

First Name Last Name

Date *

Date

Parent/Legal Guardian Signature *

Clear

Camper Name *

First Name Last Name

Date *

Date

Camper Signature *

Clear