Informed Consent and Acknowledgement
I, hereby give my consent for the named student,
to attend the Lancaster County Youth Conservation School. I
hereby, for myself, heirs, executors, and administrators, waive and release my right and claim for damages/liability
against the Lancaster County Youth Conservation School, Lancaster County Conservation District, the Northern
Lancaster County Game and Fish Protective Association, the sponsor and others who may participate in this program.
I also agree that in the event of injury or illness, if I cannot be contacted, that permission is granted to the abovementioned organizations to obtain competent medical assistance. To the best of my knowledge, the applicant is in good
health, not taking any prescribed medication, and can participate in all activities without restriction unless otherwise
mentioned on the application.