School Age Camp Permission and Acknowledgement Form
School Age Camper Name(s) *
Your answer
Date *
MM
/
DD
/
YYYY
INFORMATIONAL LETTER ACKNOWLEDGEMENT: Your typed FIRST AND LAST NAME is an acknowledgement that you have read and understand the informational letter about Camp Country Day 2017. *
Your answer
FIELD TRIP PERMISSION: Your typed FIRST AND LAST NAME gives permission for the above named camper(s) to participate in camp sponsored and chaperoned field trips and to ride in school vans or hired vehicles for this purpose during Camp Country Day 2017. Typing your name means you understand that the school will take every reasonable precaution for your child's safety. Your name also means you will not hold the school or school employees responsible for his/her safety in the event of an accident. Field trips include weekly trips to the creek and trips that are part of Destination Recreation, as well as any other trips that may be added to enhance a given camp. You may decline permission for all camps except Destination Recreation by typing "no field trip permission" but would be responsible for picking your child up from camp early in the event of a trip. *
Your answer
PUBLICATION PERMISSION: PUBLICATION PERMISSION: Your typed FIRST AND LAST NAME gives permission for CCDS to use the above named student's name, photo, image, artwork, and other student work in all media outlets including websites. Your name also indicates your understanding that CCDS has no control over the use or publication of student information and photographs by other organizations and/or media. You may give partial permission (i.e. no name) by so noting before typing your FIRST AND LAST NAME. You may decline permission by typing "no publication permission." *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Canton Country Day School. Report Abuse - Terms of Service - Additional Terms