I hereby grant permission for emergency medical treatment, including hospitalization, injections, anesthesia, or surgery to the camper named above if such
is deemed necessary while attending Camp Bethany. I understand that in the case of emergency, every effort will be made to contact me, but given the situation
that I cannot be reached Camp Bethany has permission to act on my behalf.
Media Release
I hereby grant permission to Camp Bethany, its Directors, and its employees the
irrevocable and unrestricted right to produce photographs, videos, and interview
statements taken of my child while at Camp Bethany for any lawful purpose including
publication, promotion, illustration, advertising, trade, or historical archive in any manner
or in any medium by Camp Bethany. I hereby release Camp Bethany and its legal
representatives from liability for any violation or claims relating to said images or videos.
Furthermore, I understand that once my child’s image, or video is published on a
website, it can be downloaded by any computer user. Personal information, such as my
child’s name, address or telephone number will never be published. If my child’s name
is used with a photograph, video, or interview statement, it will be in the form of a first
name and last initial. For example, camper Jane Doe may be listed as “Jane D.”
Lastly, I waive my right, and my child’s rights to any and all compensation stemming
from the use of these materials.
To request an exemption, please contact our
Camp Director for assistance.
By filling in the box below, I certify that I accept the above statements and acknowledge that this will serve as my signature for the electronic document or record.
