Statement of Consent & Waiver 

I hereby agree and declare that I am the legal parent guardian of the above-named child and hereby consent to the child's participation in the activities that are described to me in registration process. I understand that activities of the kind described may result in physical injury to my child but nonetheless specifically request that they be allowed to participate in those activities.

If the above-named child requires any emergency medical treatment or procedures during the activities, I hereby consent to activity supervisor(s) to make any decision and take any action to arrange for such procedures or treatments in the discretion of the activity supervisor(s).  I also consent that I, as the parent/guardian agree to incur the cost of any medical treatment needed if the participant is injured.

I, the parent/guardian, hereby agree and declare that I have carefully read and understand the scope of the summer camp activities and I consent to the participation of the above-named child to these activities.

Any type of injury that may occur to the child without the fault of ReadyKids, Boys and Girls Club, Charlottesville City Schools and Shaniece Be LLC, other program sponsors, or the camp volunteers cannot be held responsible for any harm that may occur to the child without the fault of the camp management and activity supervisors.

By clicking "I consent", you are acknowledging that you agree to the terms listed in this statement.