Kid's Camp 2026 Parental Consent Form

Please complete this form for all the children you registered for Kid's Camp.

Child #1 Name

First NameLast Name

Child #2 Name

First NameLast Name

Child #3 Name

First NameLast Name

Child #4 Name

First NameLast Name

Statement of Consent and Waiver

I, the undersigned, hereby declare and affirm that: I am the parent/legal guardian of the child(ren) mentioned above, who is under my care and responsibility. I give permission for my child to attend and travel to Ministikwin Youth Bible Camp and participate in all of the kid's camp activities associated with The Word Church of Lloydminster. I understand that participation in camp activities may include, but is not limited to, physical activities such as swimming, kayaking, sports, games, hiking, and other outdoor activities. I acknowledge that there is a risk of injury, illness, or other harm that may arise from these activities. In consideration of my child's participation, I assume all risks, whether known or unknown, of my child's participation at Kid's Camp.

I release and discharge The Word Church of Lloydminster, its staff, volunteers, and agents from any and all liability, claims, demands, and causes of action that may arise from my child's participation in the camp, including any harm, injury, or loss that may occur.

Authorization for Medical Treatment
In the event that I cannot be reached in an emergency, I hereby give my permission to the physician or medical facility selected by my child’s advisor and/or group leader to secure proper treatment for my child as named above.

I understand that the camp shall not be responsible, and shall be reimbursed, for any medical expenses incurred by them over this authorization.

In the event that my child experiences discomfort such as headache, fever, allergy symptoms, or nausea, I authorize the camp staff and volunteers to administer appropriate over-the-counter medication, including:

Acetaminophen (e.g., Tylenol)
Ibuprofen (e.g., Advil)
Diphenhydramine (e.g., Benadryl)
Dimenhydrinate (e.g., Gravol)

I understand that these medications will be administered according to the appropriate dosage for my child’s age and/or weight as indicated on the product label unless otherwise specified below:

Please check all that apply:

Please indicate which medication can be administered:

Additional information or comments:

Parent / Guardian's Full Name

First NameLast Name

Signature

Date