Name of Camper

I am the parent/legal guardian of the Camper, a minor.  I hereby acknowledge that said minor is presently under my care, custody, and control.  I hereby give my child my permission to attend Carolina Creek Christian Camp.

Name of Parent or Guardian

Furthermore, I consent to give my child permission to participate in all activities including, but not limited to, climbing, repelling, low rope elements, high rope elements, swimming, other water activities, and all indoor and outdoor events and activities.  I understand all activities are optional and that my child has voluntarity applied to participate in the events and activities of the Camp.  I understand the foregoing activities and all other events, hazards or exposures connected with the Camp and the indoor and/or outdoor activities invlove risk of harm and that accidents or illness can occur in places without medical facilities, physicians, or surgeons.  I am aware of the risks and damages inherent with those activities and I knowingly and willingly assume the risk of injury.

For which 2012 Summer Session(s) will the participant be attending Carolina Creek?