MYO17SCRF Form Preview
MYO 2016 Summer Camp Registration Form
  • MYO 2017 Summer Camp Registration Form

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  • Authorization:

    To the best of my knowledge, my child is in good health and has not been exposed to any infectious disease in the past four weeks. If my child becomes exposed to any infectious disease between now and the time of departure for camp, I understand the Camp must be notified. In case of surgical emergency and should I not be immediately available for consultation, I hereby give permission to the physician selected by the Camp Director, to hospitalize my child, secure proper treatment, order injections, anaesthesia or surgery for my child, as above.

    I desire my child to participate in the full camp program and all the activities (including and not limited to watersports consisting of swimming, canoeing, and use of a speed boat for rides and "tubing"), unless I advise you otherwise in writing above.

    I have read the Rules and Regulations and agree with them and I have made my child aware of them as well. I recognize that all the people organizing and staffing the camp are volunteers. I will not hold anybody involved with the camp, or any other person liable for any reason, from any act which may arise at the Camp.

    I am aware that there are no refunds.

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