Cell phone # of person dropping off/picking up Child *
Your answer
List any allergies of concerns *
Your answer
I agree that my child will obey the rules *
My child will not attend if they are showing any signs of COVID symptoms *
I will be available to pick up my child if they are showing any signs of COVID symptoms during day camp *
In the unlikely event of a serious injury, I consent to having my child being taken to the hospital. *
I give permission for me/my child to be photographed by Sherbrooke Mennonite Church (SMC) and understand that such photographs are property of SMC, and may be used for future promotions relevant to the program *
The risk of sustaining injuries results from the nature of the activity and can occur without fault of the participant, Sherbrooke Mennonite Church staff, volunteers, or the facility in which the activity is taking place *
I am aware that children will only be released into the custody of the parent/guardian who is listed about unless I notify Day Camp Managers *
I have read the program information, the release form, and I understand all the information provided, and I assume the risks associated. *
Signature, Date
Your answer
A copy of your responses will be emailed to the address you provided.