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HOGWARTS SUMMER CAMP 2024
Hogwarts Camp 2024
Medical Permission & Liability Waiver
Medical Permission Waiver
I give permission for my child to receive any needed medical care and treatment required in my absence. I understand I will be responsible for the payment of any expenses not covered by my insurance. In the event that I, the custodial parent or guardian, cannot be reached in an emergency, I hereby give permission to the physician selected by Maumee Valley Unitarian Universalist Congregation to secure and administer treatment including hospitalization for the camp participant named in this application. I agree to the release of any records necessary for insurance purposes.
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Waiver/Release Agreement:
I, the undersigned, agree to release, indemnify, and discharge the Maumee Valley Unitarian Universalist Congregation (herein after, “MVUUC”) on behalf of myself and my participating child/children as follows:
1. I acknowledge that participation in the MVUUC Hogwarts Camp, Bowling Green, OH on August 10-11, 2024 (herein after, “MVUUC Hogwarts”) entails known and unknown risks that could result in injury, death, or damage to me, to property, or to third parties.
2. My participation in MVUUC Hogwarts is voluntary, and I elect to participate despite the risks.
3. I hereby voluntarily release, discharge, and agree to indemnify and hold harmless MVUUC from any and all claims, demands, or causes of action that are in any way connected with my participation in MVUUC Hogwarts.
4. I certify that I have adequate insurance to cover any injury or damages that I may cause or suffer while participating in MVUUC Hogwarts, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.
5. I realize that any photos taken by MVUUC Hogwarts staff during MVUUC Hogwarts become property of MVUUC and may be used in MVUUC materials. I realize there will be no compensation for the use of these photos.
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Name: ___(Type in Camp Registration Google Form)_____________
Date _____________