Youth Camp Medical Release and Liability Form

Please fill out the following form (one per person)
in order for your child to participate in camp.

First name

Last name

Phone

Date of Birth (MM/DD/YYYY)

Address

As the parent/guardian of the above named child, I give him/her permission to participate in the activities of “Catalyst Youth Group” at Beartooth Christian Camp, June 19-23. I release Beartooth Christian Camp, New City Church, the Advance Network, Christian City Church and its representatives from any liability in the event of an accident enroute, during, or returning from camp. I also authorize them to obtain any emergency medical attention that may be required during my child’s attendane

Parent/Guardian Name

Parent/Guardian Signature (if using mobile, please turn horizontal)

Thanks for submitting!

Youth Camp Medical Release and Liability Form

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