I Do hereby authorize bona fide officials of the Urban Kids Camp, Next Step and Harambee, and Cal-Pac Camping staff and volunteers as agents for the under-signed to consent to X-ray, examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable and is to be rendered under the provisions for the MedicalPractice Act by the medical staff of a licensed hospital whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.
I hold harmless the California-Pacific Conference, its Boards, officers, members, clergy, staff, agents and volunteers from any and all claims, losses, costs, obligation and liabilities for injuries to any persons or for damages to or loss of any kind in any way arising out of participation of the above mentioned person, whether or not arising from any alleged negligence, fault or legal liability of the California-Pacific Conference, its Boards, officers, members, clergy, staff, agents and volunteers.
This authorization shall be effective through July 30th, 2023.
CALIFORNIA CIVIL CODE SECTION 25.8 Cal-Pac Camps may take photos and videos during camp which may later be used for marketing and promotional purposes within the bounds of the California-Pacific Conference. If you would not like your child appearing in any of these materials, please request this in writing to: Cal-Pac Camps c/o Wanda Bethea, PO B ox 6006 , 110 South Euclid Ave., Pasadena, CA 91102.