IMPORTANT

I understand that there are always risks inherent in camp activities, therefore, I agree to release and not hold the University Baptist Church dba Christ Journey Church and its ministry representatives liable for accidents that may occur on or off the camp property during my child's stay. The health history provided above is accurate as far as I know, and the child herein described has my permission to engage in all prescribed camp activities except as noted.

Authorization for Treatment:

I hereby give permission to the medical personnel selected by the camp directors to order X-rays, routine tests, treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for my child. In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp directors to secure and administer treatment, including hospitalization and anesthetization, for the child named above. I also understand and agree to abide with my physician's recommendations.

As the parent (or legal guardian) for the child named above, I certify that I have been informed that, as a volunteer in "Kids Camp", my child will be volunteering in a week-long camp hosted by the University Baptist Church dba Christ Journey Church. Completion of this form gives medical authority to the adult representatives of the Family Ministry of the University Baptist Church dba Christ Journey Church.

By signing this form, I am promising that the information above is accurate. I also state, that if I allow my child to volunteer in Kids Camp, my child is physically fit and has the necessary skills to volunteer in this activity.

Kids Camp 2024 Volunteer (Teen)