Parental Consent and Release:
Medical Authorization: This health history is correct to the best of my knowledge. I give my permission for the camp first aid provider to treat the above listed camper in the event of a minor illness or minor injury. IN CASE OF EMERGENCY, and when I am unable to be contacted, I hereby give permission to the local physician selected by the camp to hospitalize, secure proper treatment for, order injection, anesthesia, or surgery for my child.
Activities: I understand that by signing this form I am giving permission for the named camper to participate in all scheduled activities including but not limited to: swimming, rock-wall, zip line, hiking, recreational activities and more. I realize that even with the best of planning and precaution, unforeseen events can occur. By signing this form, I the parent or guardian, agree to assume and accept all risks and hazards inherent in camp-related activities. We understand there is wildlife in the area of the campgrounds and terrain is unfamiliar to most campers. Campers disregarding the camp boundaries and leaving the ground without supervision are at greater risk of injury. I/we also agree not to hold the SDAG, camp staff, or volunteers liable for damages, losses, and injuries to the person or property of the undersigned.
Insurance: The Camp Insurance is secondary coverage with a maximum benefit of $10,000.00 per incident. All claims made will need to be filed with the individual’s insurance provider first. Camp insurance is supplemental and covers expenses the individual’s insurance does not cover. Camp insurance only covers accidents that happen while the individual is at camp. The family will bear the full financial responsibility for charges related to causes other than accidents, or charges not covered by, or beyond the $10,000.00 maximum of the camp insurance. Should the family be interested in insurance additional to what is provided for your camper, please contact your local insurance agent.
Pictures & Videos: We authorize SDAG to use our child’s likeness in photographs or video in any and all publications and media. We will make no monetary or other claims against the District for the use of such photos or videos.