Labor Day '26 Camper Registration

By completing this form, parents are also giving PARENTAL CONSENT & MEDICAL RELEASE for this trip and any other youth activities from August 1, 2025 to August 1, 2026 for all the churches involved in the Labor Day Camp. As the Parent/Guardian of the minor child/children named below, I give my consent for him/her to participate in all Youth activities sponsored by Wallace Presbyterian Church, Good Hope Presbyterian Church, Mt. Airy Presbyterian Church, New Covenant Presbyterian Church, Christ Reformed Presbyterian Church, Bowie Reformed Presbyterian Church (whichever church my teen came with, hereinafter the “Church”). I understand that there are inherent risks involved in any ministry or athletic event, and I hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my child’s involvement in Youth activities. In the event that he/she is injured and requires medical attention, I consent to emergency medical treatment prescribed by a licensed physician, and any first aid treatment the Church, its pastors, employees, agents, or volunteer workers deem necessary until a licensed physician or emergency medical personnel assume control of my child’s care. This care may be given under whatever conditions necessary to preserve the life, limb, or well-being of the child. In the event treatment is required from a physician and/or emergency personnel designated by the Church, I agree to hold the Church and any such person free and harmless of any claims, demands, or suits for damages arising from the provision of that medical care. I acknowledge that I am responsible for the cost of any medical care should the cost of that medical care not be reimbursed by a health insurance provider. I affirm that the health insurance information provided below is accurate to the best of my knowledge. I agree to bring my child home should they become ill or if deemed necessary by Church staff or volunteers. In the event my child becomes ill or injured, I authorize the camp nurse to render aid and/or administer over-the-counter medication, i.e., acetaminophen, ibuprofen, antibiotic ointment. In the event of an EMERGENCY, the counselor or camp nurse will call the parent/guardian at the contact number listed below. If no one can be reached, I hereby give my permission to the physician selected by the counselor or camp nurse to secure proper treatment for my child. To the fullest extent permitted by law, I release Camp Hemlock, its trustees, officers, directors, employees, agents, and representatives from injury, harm, damage, or death which may occur to my minor child while participating in the activity and agree to save and hold harmless all the churches and Camp Hemlock's trustees, officers, directors, employees, agents, and representatives from any claims arising out of my minor child’s participation in the activity. Parent Electronic Signature

Labor Day '26 Camper Registration

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