STUDENT - WATERMARKS CAMP: Liability Release Form Dates: 2/7/25-2/9/25 - Winter Weekend

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CAMPER INFORMATION

 
 
 
 
 
 
 
 
GUARDIAN INFORMATION

Mother/Legal Guardian

 
 
Father/Legal Guardian

 
 
EMERGENCY CONTACT

 
 
 
HEALTH/MEDICAL INFORMATION

 
 
 
 
 
 
 
 
 
 
 
 
Please select all that apply.
CONSENT:

The undersigned hereby acknowledges that there is risk in simply attending and/or participating in activities at Watermarks. Watermarks will not be held liable for any injury, loss, sickness, or disease experienced during, after or before any event at Watermarks. The programs and activities at Watermarks involve physical activity and carry risk of injury and I hereby assume those risks in enrolling my child or myself. I grant permission for my child or myself to participate in activities provided by and located at Watermarks Camp. If I do not wish for my child or myself to participate in any activity, it is my responsibility to inform my group prior to arrival. I grant permission for my child or myself to receive medical attention from Watermarks or by designated group leaders.

I understand that my child or myself may be transported by bus, car or utility vehicles to locations on the Watermarks campus as part of the program activities, and I hereby give my permission for my child or myself to participate and utilize transportation. I grant permission for my child to receive transportation for Emergency Care should I not be able to be reached in a timely manner.

Watermarks Camp and staff are not liable or responsible for any loss or damage to any personal items brought to camp. Watermarks doesn't provide a lost and found and any items left after departure of event will be discarded. 

I consent for Watermarks to use my child's or my image or voice in any video, photograph, or audio tape used for fundraising, advertising or publicity.

By typing my name below, it will serve as an electronic signature for this consent. 
 
 

Description

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