By hitting submit and with your electronic signature, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18.
While we do not anticipate our activities will involve serious injury, please understand that by submission of this form, you acknowledge that you have read and consent to the below releases during your child(ren)’s involvement in the day camp.
Informed Consent and Acknowledgement
I hereby give my approval for my child(ren)’s participation in any and all activities prepared by HILLSIDE COMMUNITY CHURCH (hereafter "HILLSIDE") during the selected camp. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless HILLSIDE and all its respective officers, agents, and representatives from any and all liability for injuries to said child during participation in the day camp sessions.
In case of injury to said child, I hereby waive all claims against HILLSIDE including all leaders, affiliates and participants. There is a risk of being injured that is inherent in all sports activities, including sledding.
Medical Release and Authorization
As Parent and/or Guardian of the named student(s), I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, 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 athlete. 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.
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.