Childs Name
Session
Signature/ Parent Name
Date

     

With my signature above--

--I confirm my understanding that the participation of my child as a camper in any summer camp carries a risk of serious injury. I voluntarily and knowingly acknowledge and accept this risk. I understand that certain risks and dangers may be involved in the conduct of activities at camp and specically, but not by way of limitation, I consent to my child participating in all camp activitie<vs on or o the premises, including sailing, windsurfing, canoe trips, shing, hiking, backpacking, bicycling, age-appropriate athletic competition which may include incidental bodily contact, use of tools in arts and crafts and other programs, and vehicular travel.

--I release and hold harmless Crystalaire Camp, Crystalaire Adventures & Camp Lookout, its owners (David Reid and Katherine Houston) and its employees from any and all claims that may result from any act or action, damage and/or injury that may befall my child as a result of his/her being a camper and engaging in any type of activity resulting in the injury or damage.

--I will inform the camp administration, prior to the opening day of his/her camp session, if my child has any known exposure to or currently has an infectious disease (to comply with the State of Michigan Act 116, rule R400.11127).

--I give my permission to the camp to use any photos or videos of my child in promotional materials designed for and by the camp


 


   

Camp Lookout Office
PO Box 1129
Frankfort, MI 49635
PHONE (231) 352-7589  

info@lookoutsummer.com

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