Statement of Consent & Waiver
I hereby agree and declare that I am the legal parentguardian of the above-named child and hereby consent to the child's participation in the activities that are described to me in registration process. I understand that activities of the kind described may result in physical injury to my child but nonetheless specifically request that he or she be allowed to participate in those activities.
If the above-named child requires any emergency medical treatment or procedures during the activities, I hereby consent to activity supervisor(s) to make any decision and take any action to arrange for such procedures or treatments in the discretion of the activitysupervisor(s).
My child attending Summer Pattern Play is expected to be kind, safe and respectful at all times. I understand that this program has a zero-tolerance policy for hitting, fighting, bullying, verbal threats, destruction of property, and elopement (leaving their group) during the program. If these behaviors are exhibited, program supervisors will contact me for immediate pick up depending on the severity of the incident.
I, the parent/guardian, hereby agree and declare that I have carefully read and understand the scope of the summer camp activities and I consent to the participation of the above-named child to these activities.
Any type of injury that may occur to the child without the fault of the camp management and activity supervisors, the camp management cannot be held responsible for any harm that may occur to the child without the fault of the camp management and activity supervisors.