* Parent/Guardian First & Last Name
YFN AUTHORIZATION 1
- This health history is correct so far as I know and the person herein described has permission to engage in all activities except as noted. AUTHORIZATION FOR TREATMENT; I hereby give permission to the medical personnel selected by the camp director to order X-Rays, routine tests, treatment; to release any records necessary for insurance purpose; or arrange necessary related transportation for my child or me. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp director to secure and administer treatment, including hospitalization, for the person named above. As my attendance at YFN is a privilege, I release YFN including it's trustees, employees, agents and TURNINGPOINT CHURCH, from my physical injury, including death or illness while at camp. I will assume the risk associated therewith whether known or unknown to me at this time. This release is also intended to include all claims of my family, estate, heirs, personal representatives or assigns. If I am under age 18, my parent or guardian, by signing below, also consents to my release and he or she agrees that this release shall be binding upon him or her as my parent or guardian as to me and my estate, heirs, personal representatives and assigns. My parent or guardian also promises, by signing below to defend, indemnify and hold YFN/TPC harmless from any claim asserted by me against YFN/TPC, including it's trustees, employees and agents if I should repudiate this release after obtaining adulthood.
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