I certify that the information above is accurate and complete to the best of my knowledge. I understand that each individual is responsible for his/her own insurance coverage during this activity. I give permissions for my child(ren) listed above to attend the Maysville Youth Retreat and hereby release the organization and any adult in charge of the group from any legal or financial responsibility with respect to my personal or my student’s participation. The camp does have insurance that would be secondary, covering only what the camper’s insurance may leave outstanding.
I have reviewed the information with my child so that both he/she and I are aware of the CODE OF CONDUCT. I will honor the regulation against making or receiving phone calls by my child by NOT CALLING him/her during this retreat. In case of emergency I will contact the Retreat Director at 859-421-6869.