By checking the box below, I acknowledge that my child’s participation at Hume Lake’s Summer Camp (“Event”) is voluntary and includes activities that require traveling and physical activity.  I acknowledge that my student’s participation at this Event presents risks, and that my student may suffer property damage or bodily injury (God forbid). Therefore, in consideration of my student or dependent’s participation in this activity, I agree to the following:
-Monterey Church is not responsible for personal belongings, though will make every effort to protect your student’s possessions.
-Students are required to wear seat belts while riding in vehicles.
-Conduct deemed inappropriate by the adult leaders of the Event will result in transportation home at the parent or guardian’s expense.
-I hereby take the following action for my child or dependent, myself, my executors, administrators, heirs, next of kin, successors, and assigns: A) I waive, release, and discharge from any and all claims of liabilities for death or personal injury damages of any kind, which arise out of, or relate to my student or dependent’s participation at this Event, the following persons or entities: Monterey Church, any other associated student ministry, organization or church, their Pastors, paid staff or volunteer Student Ministry staff. B) I agree not to sue any of the persons or entities mentioned above for any of the claims or liabilities that I have waived, released, or discharged herein; and C) I indemnify and hold harmless the person or entities mentioned above from any claims made or liabilities assessed against them as a result of my child’s actions. I hereby assume the risks of my student participating in this Event and the travel it entails.
I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or health care facility to treat the student named herein for the purpose of attempting to treat or relieve any injury received by said minor. I authorize any such medical provider to perform all procedures deemed medically advisable in attempting to treat or relieve any such injuries. I consent to the administration of anesthesia as deemed advisable. I realize that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume any such risk for and on behalf of myself and said youth. I further agree to pay all charges for the dental, medical, or hospital care or treatment.