I give my permission for my child(ren) to participate in the Utah Valley Church Summer Day Camp taking place August 1-4, 2023
I understand the known risks involved in the program for my child(ren) in consideration of Utah Valley Church allowing us to participate in the program.
I hereby fully release and forever discharge the parties named above, along with heirs, officers, agents, employees, and volunteers.

In the event of illness or accident, having parental responsibility for the named child(ren), I give
permission for first aid to be administered where considered necessary by a person trained in first
aid, if available, or medical treatment to be administered by a suitably qualified medical
practitioner. If I cannot be contacted and my child(ren) should require emergency hospital treatment, I authorize an adult leader to sign on my behalf any written form of consent required by the
hospital. However, I understand that every effort will be made to contact me as soon as possible.

I understand that by my child(ren)’s participation in this youth activity his/her picture
could be taken and used in press releases, brochures, video, CD/DVDs, websites, etc. for
informational use only (ie – Website updates, promotions of events, etc.). In such cases, names
will never be listed.