Summer Day Camp Waivers Tuesday, July 2, 2019 9:00 a.m. 10:00 a.m. 09:00 10:00 Google Calendar ICS Parent/Guardian Name * First Name Last Name Children's Names * Parent's Email * Parent/Guardian Phone * (###) ### #### Permission for my child(ren) to participate in the Summer Day Camp 2019 at Weird Church * I hereby release, remise, and forever discharge the United Church of Canada, its staff or volunteers, of, and from, all manner of actions, causes of actions, claims, and demands of whatever nature which result from any injury, loss or expense sustained, arising out of or in any way connected with participation in the SUmmer Day Camp Program. In the event that my child is injured, ill, or in need of medical attention (and I am unable to be contacted), I authorize the leaders of the retreat to seek medical attention on my behalf. I give permission I DO NOT give permission Permission for the leaders of the Weird Church Summer Day Camp 2019 to use a photo of my child (ren) for a church publication or on a church website. I understand that my child's name will not be published on the internet. * I give permission I DO NOT give permission Thank you!
