Permission Form

AMBASSADOR CHRISTIAN ACADEMY

SUMMER CAMP

PERMISSION FORM

PARENT/GUARDIAN PLEASE READ AND SIGN BELOW

Child’s Name_________________________________________________________

I, the parent/guardian of the registrant, a minor, agree that the child named above and I will abide by the rules and regulations of Ambassador Christian Academy Summer Camp. I recognize the possibility of physical injury associated with all sports and recreational activities, and in consideration of the camper’s participation, I do hereby waive, release, absolve, indemnify, and agree to hold harmless Ambassador Christian Academy Summer Camp, Ambassador Christian Academy, First Baptist Church, its directors, supervisors, employees, and all program volunteers, against all claims, liabilities, and damages arising out of or in connection with the camper’s participation in this program.

Please be advised that any injury must be reported immediately to the child’s counselor or Camp Director. All insurance claims are to be processed through family or personal coverage before submitted to Ambassador Christian Academy Summer Camp.

I HEREBY CERTIFY THAT THE INFORMATION ON THIS APPLICATION IS TRUE AND GIVE PERMISSION FOR MY CHILD TO PARTICIPATE IN THE ABOVE DESCRIBED PROGRAM.

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Parent’s/Guardian’s Name – Please Print

________________________________________________________ DATE_________________

Parent’s/Guardian’s Signature

PHOTOGRAPHS AND VIDEOTAPING PERMISSION SLIP

There may be occasions when campers may be photographed or videotaped while participating in Summer Camp activities. Please let us know if you will allow us to print or publish your child’s picture (possibly including his/her name) in a variety of professional venues including newspapers, camp brochures, cable and/or regular television, and Ambassador Christian Academy’s website.

I give permission for photographs and video of my child to be taken and printed or published:

YES_____ NO_____

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