A copy of this form must be completed by each participant and turned in prior to our departure! If you do not have this form on record prior to departure, you will NOT be allowed to participate.
I, the undersigned parent or guardian, do hereby grant permission for my son/daughter, whose name is First Name* Last Name* , and hereinafter shall be referred to as "participant," to participate in any Tracey Anderson, Trippin' with Tracey, hereinafter referred to as "Tracey Anderson", event or camp. In order that the participant may receive the necessary medical treatment, in the event of any injury or illness, I hereby hold Tracey Anderson and its representatives harmless in the exercise of this authority.I further acknowledge, understand, and agree that in taking part in this clinic, camp, or event, there is a possibility of physical illness or injury (minimal, serious, or catastrophic) and that participant is assuming the risk of such illness or injury by participating. I agree responsibility for my child, his/her safety and welfare during the course of this camp.I further agree to hold harmless Tracey Anderson, including its principals, directors, staff, and employees who conduct the camp, for and/or from any illness or injury incurred by participant during the course of said camp/clinic or special event.Finally, we agree not to pursue Tracey Anderson, its directors, instructors, associates, or affiliates legally, should these issues come to pass.
MEDICATIONS
ACKNOWLEDGEMENT