Consent Forms : Summer Camp Registration : Mooncrest Neighborhood Programs

Name of child

First Name *

Last Name *

Name of child

First Name

Last Name

Name of child

First Name

Last Name

Choose one:

When camp ends, my child/children may walk home alone at 3:00PM
My child/children will be picked up by a parent or designee at 3:00PM.

Behavior expectations:
Camp participants are expected to follow the program rules. Continual disruption or noncooperation will be cause for direct communication with a parent. If a child’s behavior continues to be disrespectful and/or disruptive, their participation in summer camp may be limited or suspended.

I have read the above and acknowledge:

I understand the behavior expectations and acknowledge that disruptive and disrespectful behavior will be cause for removal from the summer camp program.

Sign your name:

Date

Field trip/Medical Treatment:
Camp participants may have the opportunity to participate in field trips. Parents will be notified
as plans are made. Parent permission is needed for camp participants to attend field trips.
Please read and sign below if you give permission for your child/children to attend field trips.

Read and acknowledge:

I, the parent or guardian of the above named child/children, give permission for my child/ children to attend field trips with Mooncrest Neighborhood Programs summer camp.
In the event of any injury or illness during participation in summer camp and related activities, the parent or guardian of the above named child/children, give permission for necessary medical treatment.

Sign Your Name:

Date:

Photo consent for Hopebound Ministries Inc DBA Mooncrest Neighborhood Programs:

Child Name:

First Name *

Last Name *

Child Name:

First Name

Last Name

Child Name:

First Name

Last Name

Read and acknowledge:

I grant Hopebound Ministries, Inc. (hereinafter "Hopebound Ministries") permission to use my likeness in a photograph in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that th
I hold harmless and release and forever discharge Hopebound Ministries, their photographers, employees and agents from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on
I authorize Hopebound Ministries to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing the programs of Hopebound Ministries or for any other lawful purpose. In addition, I waive the right to inspect or approve the fin
I understand that the information I provide may be edited and shared both immediately and in the future with organization’s audiences on websites, in videos, and on other public online forums (email, social networking sites, newsletters, etc).
I understand that media shared on the internet is subject to sharing and is accessible globally. I have the right to retract my consent after the production of the video, website posting, etc. Sign

Photo Consent Form

I consent to having my child/children photographed.
I DO NOT CONSENT to having my child photographed.

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Sign your name:

Date: