Please read and sign below.
I hereby certify that the above-named camper(s) is in good physical health and subject to the camp rules and regulations.
I understand that attendance and participation in programs at YMCA Camp Pendalouan implies good physical health and willingness to follow camp rules as well as permission for YMCA Camp Pendalouan to copyright, publish and/or resell image likenesses of myself or children for any lawful purpose whatsoever including internet publishing. I waive my right to inspect or approve the finished product or use. Furthermore, as a guest/parent/guardian I understand that there are certain risks involved in camping activities. By signing below, I agree to defend, indemnify and hold harmless YMCA Camp Pendalouan / the Muskegon Family YMCA, its officers, employees, and representatives from and against any and all liability, loss, damage, injury, or death arising from acts connected with any camp activities, use of facilities and equipment, or interaction with any campers or staff. I also understand YMCA Camp Pendalouan reserves the right to cancel any program scheduled or currently in progress at camp.
Permission to Provide Necessary Treatment or Emergency Care:
I hereby give permission to the medical personnel selected by the camp to order x-rays, routine tests, treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary transportation for me/or my child. I hereby give permission to the physician selected by the camp director to secure and administer treatment, including hospitalization, for the person(s) named above. This completed form may be photocopied for trips out of camp.