Winter Camp 2026
Permission Slip
February 20 - February 22nd 2026
Dream Mountain Christian Camp
4952 Murphys Camp Road
Murphys, CA 95247
Drop off and pick up at Cornerstone Church
!!! IMPORTANT !!!
Permission slips are mandatory for this event. Please also complete an Annual Permission Slip for 2026 if you have not done so yet. www.cornerstoneione/medical
Contact Pastor Andrew with any questions before or during the event 209-781-5434.
Contact: Pastor Andrew LaSavio 2097815434 call or text
I give permission for my child to attend and participate in this event sponsored and endorsed by the Student Ministry department of Cornerstone Church of Ione. This includes permission to travel to and from the event if applicable and authorization for any necessary medical treatment. I hereby release and agree to hold harmless Cornerstone Church of Ione together with its agents and employees from all actions, causes, damages, claims, or demands which I, my heirs, executors, administrators or assigns may have against Cornerstone Church of Ione for any and all personal injuries, loss, or damage, known or unknown, which my child may incur by participating in the above activities or outings. I, the undersigned, have read this release and understand its terms. I execute it voluntarily and with knowledge of its significance. The undersigned further agree to assume full financial responsibility for any and all charges incurred, specifically including ambulance, physician, hospital, and medication expenses. In the event of injury to the participant, I understand that the participant’s own medical insurance is primary.