Realizing that the camp is a leadership training institution, and that it has certain ideals which must be maintained, after having read or have had read to me, I agree to abide by the rules and regulations of the camp, and to waiver any and all claims against the District Organization, The Pentecostal Church of God, any of it's District Board or it's representatives, because of any injury or other damage that may be incurred to me or my property in connection with, or incident to, the Pentecostal Church of God. I give my permission for any pictures take may be used for River Pointe.
I hereby authorize the River Pointe and SO MO Youth Ministries and/or it's representative, as an agent for myself to procure medical, hospital or dental care for my child named on this form, in the event of injury or illness while the child is in the care of the above Named, I understand that I am financially responsible for any care procured. It is understood that this authorization given in advance of any specific diagnosis, treatment, or hospital care being required. But is given to proved authority in the part of my agent to consent to such medical care, should it become necessary.
I also authorize designated medical professionals to dispense over-the-counter medications as needed to the camper listed above. Please note: upon arrival, each camper will be examined for head lice. If nits or lice are present campers will be turned away with no refund issued.
I hereby irrevocably consent to and authorize the unrestricted use and reproduction by you or anyone authorized by you, of any and all photographs and/or video images which you have taken of the camper listed above, for use within the scope of River Pointe, SO MO Youth Ministries, or the Pentecostal Church of God.
* Please note that refunds are only given in emergency situations.