Lavner Camps
Consent Form
I hereby give permission for my child to participate in Lavner Camps & Programs, Inc’s (LCP) summer camps, be treated by a local nurse, doctor, and/or area hospital in case of an emergency, appear in any type of media (written, photos, videos, news etc…) for the purpose of publication or advertising by LCP or media including but not limited to LCP’s website. I will be responsible for my child’s health and accident insurance, and any cost related to my child’s medical treatment. I hereby release Lavner Camps & Programs, Inc. and properties where camp is conducted from any liability resulting from any injury while at camp. X _________________________________ Date:__________________ Signature of parent/legal guardian Print Name: _____________________