The undersigned does hereby give permission for our child to attend and participate in Camp Occohannock's  Eastern Youth Ministry Retreat, Friday, March 22th at 7 pm through Sunday, March 24th, at 10:30 am. This event is sponsored by the Camp Occohannock on the Bay.

LIABILITY RELEASE: In consideration of The Virginia Conference allowing the participant to participate in children or youth ministry activities, I, the undersigned, do hereby release, forever discharge and agree to hold harmless The Virginia Conference & Camp Occohannock, Inc, its directors, employees, volunteers and agents (collectively herein the “Camp”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the participant while involved in the children/youth activities. I the parent(s) or legal guardian(s) of this participant hereby grant our (my) permission for the participant to participate fully in youth ministry activities. Furthermore, we (I) [and on behalf of our (my) minor participant(s)] hereby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein.
Further, authorization and permission is hereby given to said Camp to furnish any necessary transportation (within the limitations of church insurance and the law), food and lodging for this Participant. The undersigned further hereby agree to hold harmless and indemnify said Camp for any liability sustained by said Camp as the result of the negligent, willful or intentional acts of said Participant, including expenses incurred attendant thereto. I the parent or guardian give permission for the use of pictures or videos that are taken to promote the ministry for future events. I understand that the pictures and or video could be placed on Occohannock on the Bay's website, facebook page, and promotional CD/Dvd.

EARLY RETURN HOME POLICY: Should it be necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, the undersigned shall assume all transportation costs and responsibility.

TRANSPORTATION PERMISSION: The undersigned does also hereby give permission for our (my) youth to ride in any vehicle driven by an approved ADULT chaperone while attending and participating in activities sponsored by The Virginia Conference. My child/youth and I understand that SEAT BELTS SHALL BE WORN AT ALL TIMES during transportation.

PARENTAL CONSENT - by typing your name below you consent to following this:

Guidelines for Consequences:
Consequences will focus on restoring peace with reconciliation among the parties involved. The goal of resolving each problem will be growth and learning through repentance and forgiveness. Any problems encountered will be handled within the group and by the adult leaders to the extent that this is possible. However, should a situation persist or become uncontrollable, the parent/guardian will be contacted and informed of the problem. Should the situation be urgent, the parent/guardian will be contacted immediately and will be responsible for picking up the youth from an event or providing for his/her transportation home.

Please no cell phones

Youth Signature:
In signing this covenant, I vow that I have read and understand these guidelines. I recognize that a covenant is a binding promise, and my signature is testimony that I agree to adhere to the provisions of this covenant.

YOUTH-type your name below if you agree to the rules above.