This health history is correct so far as I know, and the person herein described has permission to engage in all prescribed camp activities noted by me. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp to hospitalize, secure treatment for, and to order injection, anesthesia or surgery for my child as named above.
We (I) have read and understand the Bethel Youth Conference Registration Policies. We (I) give permissionfor the Bethel Ministerial Association to use photos of my child ( Me) in promotional literature, both now and in future publication, printed, or electronic. In addition, I have read the Conference Guidelines and agree, on behalf of my child, to comply.
I hereby also give permission for my child
to take part in the Youth Camp at the Bethel Conference Center in Dale, Indiana with Crosby Church.
In consideration of the acceptance of the right to participate, entrants, participants, and spectators by execution of this form, release & discharge Crosby Church, the officers and members of Crosby Church and/or anyone else connected with management or presentation from any & all known and unknown damages, injuries, losses, judgments and/or claims from any causes whatsoever that may be suffered by any entrant to his/her person or property; further each entrant agrees to indemnify all the foregoing entries, firms, persons and bodies from any and all liability occasioned from the conduct of entrants or any participant assisting or cooperating with entrant and under direction or control of entrant.
In consideration of the foregoing event, participant, family and guests agree to permit Crosby Church use of their names, photographs for publicity & advertising (including newspapers, magazines, radio & television) before and after the event, and do hereby relinquish any rights to any such photographs taken in connection with the event, and give permission to publish or dispose of said photographs to Crosby Church.
Medical Care Release:
In addition I give my permission for proper medical care to be given to my son / daughter by the proper medical authorities in any case as is deemed necessary.
I hereby give my permission for my child the described participant to travel in appropriately supervised and safe transportation to and from any excursion associated with this event.