Parent/Guardian Permission Release Form

– PLEASE READ PRIOR TO REGISTERING –

I hereby give consent for my child’s participation in the camp and related activities.

I understand that the camp programming includes physical activity in the form of a variety of sports and recreational activities. I agree that One Hope Canada Bible Camp at Sunny Cove and One Hope Canada will not be held liable for any injury to my child, or loss or damage to my child’s personal property.

In consideration of my child being allowed to participate in the camp, I, the parent/guardian of the child, on my own behalf and on behalf of my child, waive all present and future claims against One Hope Canada Bible Camp at Sunny Cove and One Hope Canada and its directors, volunteers, employees, officers, servants, representatives, insurers and agents (and their respective successors and assigns) (collectively, the “Releasees”) and hereby release the Releasees from and against all liabilities, claims, actions, demands, costs and expenses relating to injury, illness, death, loss, damage to person or property or loss of property, foreseen or unforeseen, howsoever caused (including any negligence of any one or more of the Releasees), arising out of or in connection with my child’s participation in the camp.

I also agree to indemnify the Releasees for any claim advanced against any of them arising out of my child’s participation in the camp.

In case of emergency, I understand every effort will be made to contact me. In the event that I cannot be reached in an emergency situation, I hereby give permission to licensed emergency and health care personnel to provide treatment, services and transport necessary to maintain the health of my child. In the event medication, medical advice, treatment and/or equipment are required, I agree to accept financial responsibility for fees in excess of provincial and or private medical insurance. I agree that the information on this form may be disclosed to such emergency and health care personnel. In the event of illness, accident, emergency, or any other circumstance requiring medical treatment, such treatment may be procured for the participant without legal or financial obligation to One Hope Canada Bible Camp at Sunny Cove and One Hope Canada.

All known health issues of my child have been stated to the camp. I will notify the camp if my child is exposed to any infectious diseases prior to arriving at camp.  I give permission for camp personnel to check my child for head lice and realize that they cannot participate in camp if found to be infected.

I agree to allow photographs or video of camp activities, which may include my child, to be used in camp promotional material including without limitation brochures, CDs, DVDs, the camp website and newsletters.

I agree to allow One Hope Canada Bible Camp at Sunny Cove and One Hope Canada to share my name, address & phone number with staff & churches affiliated with the camp for the purpose of communicating future camp-related activities.

One Hope Canada Bible Camp at Sunny Cove and One Hope Canada reserves the right to request any participant to withdraw from their camp if the participant is not acting in an appropriate and responsible manner.

One Hope Canada Bible Camp at Sunny Cove reserves the right to cancel any week of camp and give a 100% refund.

I have read and understood the terms of this agreement and BY ALLOWING MY CHILD(REN) to participate in the camp, I am voluntarily agreeing to abide by these terms. I confirm that the participant [my child] is physically and mentally able to participate in all activities of the camp, unless specifically indicated otherwise in writing.

Childs Name: ___________________________________________________________________

Parent/Guardian Signature: ________________________________________________________

Date: _____________________________

PERMDEC2012 (FINAL)