By submitting this form, it is my desire that the child named above attend Camp "R" for the session(s) checked. I hereby waive claims against Camp "R" and it's employees for any and all injuries which might arise from attending camp. In the case of apparent injury or illness, I want my child sent to a reliable hospital and medical assistance called at once, for which I expect to pay the usual charges. I am also aware that my son/daughter may be sent home, without refund, for flagrant violations of camp rules. *
Parent/Guardian should review the above release and sign name below.