Summer Camp Parental Consent

    by JotForm Cloned 119

    When organizing summer camp programs, you need to provide as much information as possible about camp rules to parents and guardians. With JotForm’s Summer Camp Parental Consent PDF Template, you can create a personalized and detailed consent form parents will actually want to read. You’ll also be able to save all submitted online responses as PDFs that can easily be downloaded and shared with camp staff.

    Using JotForm’s PDF Editor, you can rewrite the provided waiver text to better describe your camp’s unique policies and services. No coding skills needed — just drag and drop elements until you’re satisfied with the template layout. Once you’ve finished making modifications, your summer camp parental consent template will automatically convert any submitted responses into PDFs that will be as safe as your campers.


    Collect your online responses with JotForm and turn them into professional, elegant PDFs automatically.

    Summer Camp Parental Consent
    Thursday, November 15, 2018
    Summer Camp Parental Consent
    Participant's Full Name
    Queenie Morat
    Participant's Birth Date
    Invalid date
    Aenean lectus.
    Child's Allergies or medical problems
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    Participant's blood type:
    1. Activity Supervisors

    Consecrated college-aged volunteers.

    2. Transportation

    Participants are responsible for securing their own rides to and from Lorem Ipsum.

    3. Mentoring

    Participants may be offered mentoring, which is intended to help young people personalize the principles of Christian living that they receive at home and in club activities. Mentoring involves a private conversation with an adult conducted in plain view of others. When dealing with adolescents, confidentiality will be maintained to foster openness of dialogue, but situations involving sexual abuse of a minor or threats to life or physical health will be reported to the appropriate authority and to the parents (except in those cases where the parent may be the alleged abuser).

    4. Requirements

    The child named above is in good health and has no physical or medical limitations that would cause the activities as described above to be detrimental or dangerous to the child. Parents/guardians should specify allergies and medical problems in section above.

    5. Consent

    I hereby attest that I am (we are) the legal parent\guardian(s) of the above-named child and hereby consent to the child's participation in the activities described above. I understand that activities of the kind described above may result in physical injury to my child but nonetheless specifically request that he or she be allowed to participate in those activities.

    6. Insurance

    I/We understand that Challenge,Inc. does not carry any insurance relative to the activities or for any injury that may occur to the above-named child. I/We represent that the child is (a) covered by insurance through my own insurance carrier; or (b) that I/We am personally financially responsible for any and all medical costs incurred as a result of the child's injury.

    7. Emergencies

    If the above-named child requires any emergency medical treatment or procedures during the activities, I hereby consent to and authorize the above-named activity supervisor(s) to make any decision and take any action to arrange for such procedures or treatments in the discretion of the activity supervisor(s).

    8. Release and Identification

    I release and waive, and further agree to indemnify, hold harmless or reimburse Challenge,Inc., the individual members, agents, employees and representatives thereof, as well as activity supervisors, from and against, any claim which I, any other parent or guardian, any sibling, the above-named child, or any other person, firm or corporation may have or claim to have, known or unknown, directly or indirectly, for any losses, damages or injuries arising out of, during, or in connection with the child's participation in the activities (including all forms of transportation) or the rendering of emergency medical procedures or treatment, if any.

    Parent/ Guardian Full Name
    Reagen Selley
    3439 Comanche Avenu
    Los Ang, Califor, 90087
    United States
    Dad's Cell Phone Number
    (81) 3054525
    Mom's Cell Phone Number
    (46) 2128422
    Home Phone Number
    (81) 3054525
    9. Emergency Contacts

    If, in the event of a medical or other emergency, I am unable to be reached by telephone at my home or work telephone numbers listed below, I authorize the activity supervisor(s) to attempt to contact me through the emergency contacts listed below.

    Emergency Contact#1 Name
    Queenie Morat
    Home Phone Number
    (81) 3054525
    Cell Phone Number
    (81) 3054525
    Emergency Contact#2 Name
    Reagen Selley
    Home Phone Number
    (81) 3054525
    Cell Phone Number
    (46) 2128422
    I, the parent/guardian, hereby attest that I have carefully read this Permission to Participate, understand its contents, and agree to its terms and conditions.
    I agree
    Friday, June 26, 1987
    Are you interested in volunteering as a chaperone and/or provide transportation to nearby park?If so, please check which days you are available:
    Monday 12 noon to Tuesday 12 noon
    Tuesday 12 noon to Wednesday 12 noon
    Summer Camp Parental Consent

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