I believe the information provided above is a complete and accurate statement of the physical and behavioral factors which may affect my child’s participation in this summer camp sponsored by Goshen College. I hereby grant permission for my child to take part in this Summer Camp sponsored by Goshen College. I also agree, on behalf of myself or my child, not to make any claims of any kind against Goshen College or any of its employees or agents for any loss or injury that my child might sustain while engaged in the Summer Camp program. I authorize such physician or medical staff as Goshen College may designate to carry out any minor treatment and/or medical staff to provide any treatment deemed necessary for the well-being of my child.

I hereby grant permission to Goshen College, and its employees, agents, and assignees, the right to photograph my child or use their picture for purposes of advertising, publicity, trade, or otherwise, as still photographs, transparencies, motion pictures, television, web images, or other media or means of reproduction, transmission, or exhibition. I release Goshen College, its employees, agents, associates, successors, and assignees from any and all claims for damages or compensation for any claims based on the use or sale of said materials. I hereby waive the right to inspect, approve, or edit said material.