Informed Consent and Liability Release
I hereby give my approval for my child’s participation in any and all activities prepared by the Vicksburg Cultural Arts Center during the 2024 Arts in the Burg Summer Day Camps. In exchange, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless the Vicksburg Cultural Arts Center and all its respective officers, agents, and representatives from any and all liability for injuries to my child arising from participation in the camp. In case of injury to my child, I hereby waive all claims against the Vicksburg Cultural Arts Center, including all teachers, participants, sponsoring agencies, advertisers, and owners and lessors of premises used to conduct the event.
Medical Release and Authorization
As Parent and/or Guardian of the named camper(s), I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional of the minor child(ren) in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named camper(s). In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the Vicksburg Cultural Arts Center and its affiliates including Directors, Instructors, and trained volunteers to provide the needed emergency treatment prior to my child’s admission to the medical facility. Release authorized on the dates and/or duration of the 2024 Arts in the Burg Summer Day Camp. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.