Details of the child attending the camp. Child age must be 7-16 years of age.
Parent / Guardian
Details of the child's Parent/Gaurdian
In the event of an emergency the parent/guardian will be contacted first. Please provide a second contact in case they cannot be reached.
Please note, this is an Accident Release, First Aid, Media and Financial Responsibility Wavier
Please add any additional notes about you would like to include
I authorize and grant permission for a representative of The Younger Heroes to treat minor injuries including scrapes, small cuts, splinters, and insect bites, ideally in the presence of a parent or guardian. I authorize and grant permission for a representative of The Younger Heroes to obtain emergency medical care from any licensed physician or hospital and/or medical clinic should my child become ill or injured. I therefore freely and voluntarily execute this release with such knowledge, assume the risk of personal injury and/or property loss arising from or in any way connected with participation in any programs offered by said Younger Heroes Camp centre. I hereby release and discharge said child care centre and any and all agents from any liability, claim, cause of action, demand or damages from injury or damages of any kind to my child or my property as a result of participation in the programs of The Younger Heroes. I grant permission and understand that photos and other images taken during this event could be used in print advertisement and other forms of media. I understand that should my child become a disruptive force during the educational program that the instructor may choose to release him/her from the program with no refund.
I acknowledge as part of the camp participants will be required to engage in some level of self-disclosure to the level they are comfortable with. During this process, if personal issues arise we may initiate appropriate services and or support to assist any impacted person in order to render safe/assistance. In addition, every attempt will be made to maintain your privacy and confidentiality in this cohesive and supportive group environment.