As a parent/legal guardian, I hereby give permission for my child to participate in the youth camp sponsored by the Los Angeles International Church of Christ (“LAICC”) during the weeks of July 12-17, 2021, at Idyllwild Pines Camp as provided below:

1. Although those leading the Camp (including Idyllwild Pines and camp staff/counselors will consider safety issues, I understand that there are inherent risks in attending Camp, including transportation to and from the Camp, and that my child’s participation in the Camp may involve risk of harm or injury. Knowing the potential risks, I consent to my child’s participation in the Camp and agree to assume the risk of injury, damage, or death resulting from my child’s participation.  I consent to my child's participation in ALL activities, except for the activities checked in the registration form which I DO NOT authorize (e.g., hiking, rock climbing, swimming, zip line, ice skating, skiing, biking, paintball, etc.).

2. In the event of injury or illness to my child while participating, I give permission for the person(s) leading or directing the Camp to use their best judgment to render assistance (e.g., first aid, CPR, etc.), and/or obtain medical attention/treatment, as may in their judgment be needed. I further give permission to the selected medical staff to render medical attention/treatment as they deem appropriate and necessary. I understand that the LAICC does not provide any kind of medical insurance for Camp participants and that covering the cost of any such medical attention/treatment is my sole responsibility.

3. I understand that, at all times, I am ultimately responsible for my child’s conduct while participating in the Camp. I agree that the Camp Director reserves the right to dismiss any camper whose behavior or attitude in the Director’s sole determination is disruptive to the camp, and no refund will be given in such an event. Further, in such an event, I acknowledge I will be responsible to arrange prompt transportation from the Camp for my child. Finally, I understand that LAICC does not provide liability or other insurance insuring me or my child against the results of any injury to persons or damage to the property my child may cause.

4. Understanding all of the above, I hereby release and discharge LAICC, its officers, directors, employees, agents, and volunteers (the “Church”) from all liability arising out of or in connection with my child’s Camp participation from any cause other than the active negligence or willful misconduct of the Church, and do hereby indemnify the Church against any such released claim. For the purposes of this Youth Ministry Camp Special Participation Authorization and Release, liability means all claims, demands, losses, causes of action, suits, or judgments of any and every kind that I, my child, my or my child’s heirs, executors, administrators, assignees, or any other person or entity may have against the Church because of death, personal injury or illness, or because of any loss or damage to property, any of which results from any cause other than the active negligence or willful misconduct of the Church.

I understand that portions of the event may be photographed or recorded (both video and audio).  I authorize the Church to use this material in any manner it sees fit including publication, websites, social media, printed material, etc., and consent to the use of my child's image in conjunction therewith.  In the event I may in the future deem any such use inappropriate, I understand that the Church may not be able or willing to remove or modify any such image.

I acknowledge that I have read and understood the terms of this Youth Ministry Camp Special Participation Authorization and Release Form, am fully and aware of the potential dangers incidental to my child’s participation in the Camp, and am aware of the legal consequences of agreeing to this form by checking the box that I agree.