PERMISSION / ACKNOWLEDGEMENT
My child has permission to participate in all Skyline WIldenress Club activities as listed in the brochure and website, except as noted above and/or by an examining licensed medical professional. By registering, I permit the use of appropriate photographs or video images for publicity and sharing purposes, including print and internet, without names (to opt out, include a separate, signed note). I agree to Skyline’s refund policy, and agree to pick up my camper early for illness or disciplinary reasons. Further, my camper agrees to abide by all camp policies including: no violent behavior, and no alcohol, tobacco, drugs, fireworks, weapons, electronic devices or any other inappropriate items.This health history is correct and accurately reflects the health status of the individual to whom it pertains. If I cannot be reached in an emergency, I give my permission to the licensed medical professional selected by the camp to hospitalize, secure proper treatment for, and order injection, anesthesia, or surgery for the individual. I understand the information on this form will be shared on a 'need to know' basis with camp staff. In addition, the camp has permission to obtain a copy of the described individual's health record from providers who treat them, and these providers may talk with the program's staff about the described individual's health status. If a camper must be treated at a medical facility for any reason during the camp session, none of the costs associated with any treatments will be the responsibility of Skyline Camp and Retreat Center.