Game Day February 2024 Registration Form

Camper Information

Campers Name 1

First NameLast Name

Grade

Campers Name 2

First NameLast Name

Grade

Campers Name 3

First NameLast Name

Grade

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Information

Name

First NameLast Name

Home Number

Cell Number

E-mail

example@example.com

Emergency Information (must be someone other than parent or Guardian listed above)

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Alt. Phone Number

Any food allergies or other dietary restrictions?

Campers are not allowed electronic devices during camp events. If your camper is being picked up by someone else other than who dropped them off and will need their devices after the event is over, we will hold them in the office for them for the duration of the day/weekend.

Campers will also not be allowed to call home, if there is an emergency we will contact you.

Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by Windham-Tolland 4-H Camp during Teen Weekend. In exchange for the acceptance of said child’s candidacy by Windham-Tolland 4-H Camp ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Windham-Tolland 4-H Camp. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against Windham-Tolland 4-H Camp . including all Staff and affiliates, all participants, sponsoring agencies, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all camp activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization As Parent and/or Guardian of the named camper, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named camper. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the Windham-Tolland 4-H Camp . and its affiliates including Directors and Staff to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Parent/ Guardian Signature

Camper Game Day February 2024