I hereby authorize, blanks (camper's name) to: Participate in the Summer Camp Program conducted by the Center of Hope Foundation including (but not limited to) community access trips and recreational activities including swimming that may be conducted at places other than the camp site but approved by this program. Be transported to any of the above by staff or volunteers of the agency and hold the operator of any agency owned vehicle harmless. Be transported by means other than agency owned vehicles when necessary and approved by the Center of Hope Foundation, and hold the operator of any such vehicle harmless. I will allow the Center of Hope Foundation staff to provide emergency first aide and if necessary, transport the individual to the emergency room, or contact an ambulance if needed. I understand that in the case of an emergency, all efforts will be made by the Center of Hope Foundation staff to contact the Parent/Guardian and the emergency contact person listed with the agency. I will hold the Center of Hope Foundation and the associated camp programs and facilities harmless in the event of injury.
I affirm that my consent was not obtained under coercion or undue influence, and that it may be withdrawn at any time without fear of consequence. This consent must be reauthorized annually. Consent may be withdrawn at any time by the parent/guardian by notifying the Center of Hope Foundation in writing.
I, blanks (Camper’s Name) grant permission to the Center of Hope Foundation to videorecording/photograph/use camper’s likeness or pictures in: Agency Brochures - To be used as a marketing tool for the Center of Hope/Camp Hope Program Social Story - To introduce families and individuals seeking information/admission to the Center of Hope Agency Marketing - For example: video, Facebook, YouTube, agency WebsiteI understand staff will respect my privacy and not videotape/photograph when I ask them not to. I understand staff will respect my privacy and not videotape/photograph me in embarrassing situations. I affirm that my consent was not obtained under coercion or undue influence and that it may be withdrawn as specified without fear of consequence.
This consent must be reauthorized annually. Consent may be withdrawn at any time by the camper/guardian by notifying the Center of Hope Foundation in writing or by calling Ryan Chauvin, Director of Family Supports at 508-764-4085.
Please Note: Staff will do everything in their power to address behavioral concerns, but due to the nature and environment of the camp, behaviors must be able to be managed by our trained staff. Behavior that is unmanageable will result in un-enrollment for the remainder of the camp season.