Permission and Liability Waivers
This form must be completed and on file for each participant in Trinity School Summer Programs
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Email *
Camper Last Name *
Camper First Name *
Multiple campers may be listed.
Participation *
My child, as shown above, has permission to participate fully in all Trinity School Summer Camp activities. (Printing your name below affirms your agreement with this statement.)
Date1 *
Affirm the date this form was signed above by selecting the date below.
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Emergency Care *
I, as a parent or legal guardian, do hereby grant Trinity School staff the right to authorize emergency medical treatment for my child named above in the event that I, or my designated representative, cannot be reached. I agree to hold harmless Trinity School and its agents from liability arising out of any accident situation. The North Carolina Good Samaritan Law will apply. (Printing your name below affirms your agreement with this statement.)
Date2 *
Affirm the date this form was signed above by selecting the date below.
MM
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DD
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YYYY
Marketing
Trinity School has permission to use my child’s image in any form of marketing (brochure, website, television, newspaper, etc.). The school yearbook is not included in marketing.  (Printing your name below affirms your agreement with this statement.)
Date3
Affirm the date this form was signed above by selecting the date below.
MM
/
DD
/
YYYY
Emergency Contact Information *
Provide the name, phone number, and relationship to the camper of an emergency contact. This emergency contact information may, or may not be the same as that on file in our student information system. You may provide multiple contacts. The following persons may authorize emergency medical treatment in the event a parent/guardian can not be reached.
Please list any allergies or health issues/concerns that we should be aware of. *
A copy of your responses will be emailed to the address you provided.
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