LIFE Inc. Youth Transition Camp
  • Youth Transition Camp July 21 - July 24

    Youth Transition Camp July 21 - July 24

    8240 Boston Ave., Lubbock, TX 79423 | (806) 795-5433

  • Participant Information:

  • Format: (000) 000-0000.

  • Parent/Guardian Information:

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Emergency Contact (Other than Parent/Guardian)

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Accessibility, Supports, and Health Information

  • Format: (000) 000-0000.

  • NOTE: Camp staff cannot administer medications or assist with toileting. If a participant needs skilled care to partake in activities, a care provider must be present.

  • Transportation and Pickup Authorization

  • NOTE: If a pick-up person changes, the parent/guardian must notify camp staff in writing or by phone prior to release.

  • Rules, Consent, Waiver, and Media Release

  • We want camp to be safe, respectful, and fun for everyone. Participants agree to the terms below. Parents/ guardians will be contacted if behavior concerns arise. Serious safety issues may result in early pickup. Camp Participants must:

    • Treat others with respect and use inclusive language
    • Follow staff instructions and safety rules
    • Respect personal space and boundaries
    • Use equipment and facilities safely and appropriately
    • Ask for help when needed
    • Avoid bullying, harassing, or disruptive behavior

    Emergency Medical Authorization - In the event of illness or injury, I authorize LIFE Inc. staff/representatives to obtain emergency medical treatment for my child/ward as deemed necessary, including calling 911, and providing medical professionals with the information needed to treat my child/ward. I understand that I am responsible for any medical expenses incurred.

    Liability Waiver and Release - I understand that participation in LIFE Inc.’s Youth Transition Camp activities involves ordinary risks, including but not limited to minor injuries, illness, or accidents. In consideration for my child/ward being allowed to participate, I, on behalf of my child/ward and myself, voluntarily assume all such risks and agree to release, waive, and hold harmless LIFE Inc., its directors, officers, employees, volunteers, partners, and agents from any and all claims for injury, loss, or damages arising out of or related to participation in the camp, except to the extent caused by gross negligence or willful misconduct.

    Photo/Video/Media Release - During camp, photos and/or videos may be taken for program documentation and to share the impact of our program. With your permission, LIFE Inc. may use your child/ward's image, likeness, voice, and/or written quotes in promotional materials such as social media posts, newsletters, presentations, brochures, and the LIFE Inc. website. Your choice will not affect your child/ward's ability to participate in the camp.

    Confidentiality - Staff and participants are expected to respect privacy. Please do not share personal information about other participants outside of camp. LIFE Inc. will use participant information only for program planning, safety, and communication purposes. 

    A parent/guardian must sign the section below for participants under 18. By submitting this application, I agree to the aforementioned Rules, Consent, and Waiver terms to participate in LIFE Inc.'s Youth Transition Camp, and certify that the information provided in this application is accurate to the best of my knowledge.

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