I, the undersigned, hereby declare and affirm that:
I am the parent/legal guardian of the youth named above (hereinafter referred to as "Child"), who is under my care and responsibility.
I hereby consent and give authority to the participation of my Child in the scheduled youth activities of the Camp, and all other activities which is supervised and customarily associated with its youth group.
I hereby declare and affirm that my Child is physically fit to take part in the Camp's activities and my Child has no known illness or adverse medical condition that would render him/her unfit to participate therein, other than the information specified in the medical information above.
I shall immediately advise the organizers in writing, should I discover any illness, adverse medical condition, or any other physical defect that would render my Child unfit to participate in the recreational and sporting activities of the Camp.
I shall notify the organizers immediately in case I revoke my consent to the Camp for this event.
Authorization for Medical Treatment
I understand that in case of medical emergencies involving my Child, I shall notified right away. In case any of my provided contact information is unreachable, I authorize the organization to call the doctor indicated above. In case the doctor is not available, I authorize the organizers to call any doctor to provide the necessary medical attention to my child.
I understand that the camp shall not be responsible, and shall be reimbursed, for any medical expenses incurred by them over this authorization.
I hereby release and hold harmless YE from any reasonable expectation of privacy or confidentiality for myself and the minor child and children listed below associated with the images specified above. Further, I attest that I am the
a parent or legal guardian of the child or children listed below and that I have full authority to consent and authorize SE to use their likenesses and names.
I further acknowledge that participation is voluntary and that neither I, the minor child, nor the minor children will receive financial compensation of any type associated with the taking or the publishing of these photographs. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever.
I hereby release SE, its contractors, its employees, and any third parties involved in taking or publishing photographs, from liability for any claims by me or any third party in connection with my participation or the participation of the minor children listed below.