Parent Permission and medical release form

Permissions and medical release form  

PLEASE PRINT, SIGN, AND INCLUDE COPIES OF DL AND INSURANCE CARDS. RETURN TO MELINDA JENSEN OR KRISTEN WRIGHT
 


I confirm that I will abide by the standards of behaviour and grooming required for RPB Wellington girls Camp 2021 as outlined in the For the Strength of Youth booklet and the Code of Conduct which I agreed to during online registration. I also agree to abide by the CDC guidelines and saftey measures set by the leaders of the girls camp. I understand that I will be sent home if I am non compliant.
 


Youth Signature: _________________________________ Date: ____ / _____ / ______

Parent or Guardian Authorization


 

I give permission for the Participant to attend the RPB Wellington Girls Camp activity in Orlando FL from June 28-July 1 2021. I have reviewed the Participant's registration details and verify they are correct and that all medical/health conditions have been fully disclosed. I agree to pick up my child if the Code of Conduct is violated in any way.. I give permission for the adult leaders supervising this activity to administer or approve emergency treatment to the Participant for any accident or illness, and to administer prescription medication to be taken by the Participant if required. This authorzsation includes travel to and from this activity.

Parent or Guardian Signature: ________________________________ Date: ____ / _____ / ______

Print Name: _________________________________ Phone: ________________

Bishop/Branch President Approval
I have reviewed the Code of Conduct with the Participant and his/her parent or guardian and give priesthood leader permission for the Participant to attend.

Bishop/Branch President Signature: ____________________ Date: ____ / _____ / _____

Print Name: ____________________________________