Waiver of Liability
This medical release will cover participation at the Jordan YMCA Pool on Tuesday, June 7, between 10AM and 4PM.
This permission includes church/camp transportation to and from the event and during attendance at the event. I assume full responsibility for my son/daughter while participating in this activity and agree that he/she be in submission to those in authority.
As a parent or guardian, I do, herewith, authorize the treatment by a qualified and licensed medical doctor of the registered camper, in the event a medical emergency which, in the opinion of the attending physician, may endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authorization is granted only after a reasonable effort has been made to reach me.