South Sudanese Enrichment for Families
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Summer Camp Waiver Form

A gift that lasts a lifetime

Summer Camp Program - Waiver Form

Please complete and submit this waiver form, including each child attending camp through South Sudanese Enrichment for Families

Parent Info.
Parent 1 Name *
Parent 1 Name
Parent 1 Phone *
Parent 1 Phone
Parent 2 Name
Parent 2 Name
Parent 2 Phone
Parent 2 Phone
Camper Info.
Please complete information for each child attending camp
Camper 1 Name
Camper 1 Name
Camper 2 Name
Camper 2 Name
Camper 3 Name
Camper 3 Name
Required Waivers
Waiver of Liability *
I, the undersigned, as a legal adult or parent/legal guardian of a minor, do hereby consent to my/my child’s/children’s participation in South Sudanese Enrichment for Families’ Summer Camp Program. I also agree to forever release South Sudanese Enrichment for Families, and all their employees, agents,board members, volunteers and any and all individuals and organizations assisting or participating in South Sudanese Enrichment for Families’ Summer Camp Program from any and all claims, rights of action and causes of action that may have arisen in the past, or may arise in the future, directly or indirectly, from personal injuries to myself/my child or property damage resulting from my/my child’s participation in South Sudanese Enrichment for Families’ Summer Camp Program. I also promise, to indemnify, defend, and hold harmless the Releasees against any and all legal claims and proceedings of any description that may have been asserted in the past, or may be asserted in the future, directly or indirectly, arising from personal injuries to myself/my child or property damage resulting form my/my child’s participation in South Sudanese Enrichment for Families’ Summer Camp Program. I further affirm that I have read this Consent and Release Form and that that I understand the contents of this Form. I understand that my/my child’s participation in these programs is voluntary and that I/my child are free to choose not to participate in said programs. By checking this box, I affirm that I have decided to allow myself/my child to participate in South Sudanese Enrichment for Families’ Summer Camp Program with full knowledge that the Releasees will not be liable to anyone for personal injuries and property damage I/my child may suffer in South Sudanese Enrichment for Families’ Summer Camp Program.
Photo Permission *
Please share your preferences: Do you want your child’s/children’s picture used in South Sudanese Enrichment for Families’ marketing materials, website, social media sites and local newspapers?