By signing this form, I, the undersigned, do give my permission for the camp director, medical staff, camp staff, adult present or in charge of first aid, or church official responsible to provide medical treatment in the case of sickness or injury to me, while on the campgrounds.
I have listed any and all activities in which I cannot participate on this form in the allotted space above. Camp Mulberry is staffed with a Licensed Registered Nurse. If the staff at Camp Mulberry, see that I need medical attention that the camp health professional cannot give, the emergency contact listed above will be notified and I will be taken to a nearby hospital. Camp Mulberry is not responsible for any injury I may experience while I am on campus.
I, the undersigned, will be responsible for all medical treatment and/or medications that may be necessary, beginning Sunday prior to the first day of camp and continuing until the Sunday after the last day of camp. The Associated Brotherhood of Christians, Camp Mulberry, or any of its officials or staff will not pay for or be responsible to pay for any medical treatments or medications. All responsibility will lie with the me, the undersigned.
I acknowledge that I have completely understood this release statement and all its terms and by checking the box below, I consent to the use of this e-signature and understand that by e-signing I am legally bound to the terms of this document.