I have read the completed application and understand the rules of the KTDC Summer Camp. I acknowledge, on behalf of myself and/or any other parent or guardian of my child, I/we agree to indemnify and hold harmless the KTDC, their agents, members, employees, counselors, and volunteers from any and all liability, claims, suits, demands, damages, judgements, costs, interests, and expenses (including attorney's fees and all legal costs, any injury and costs of medical services, etc.) arising directly or indirectly from KT Destiny Center Summer Camp or participation or transportation of my child regarding any activity. I further waive all claims I may have against KTDC to the fullest extent permitted by law. I also acknowledge I have the authority and ability to sign this permission form inclusive with all its components. In the event any provision of this form is deemed invalid, the balance remains in full force and effect. I give my consent for photographs and videos in which the camper may appear to be used in any way KTDC may use them to support the mission of KTDC.

If I cannot be reached in an emergency, I hereby give permission to KTDC to allow any physician, medical facility, or other healthcare provider (including paramedics) to provide any emergency medical treatment deemed necessary in the event of injury or illness of my child.