Camper Name

Emergency Telephone Numbers for Parent/Guardian

Insurance Information

Agreement

We the undersigned approve of our son’s participation in this camp. We certify that he is in good health and is able to participate in all camp activities and drills.

If medical attention is required for illness or injury, we the undersigned hereby appoint the camp organizers to authorize medical treatment for any injury or illness that may develop during the camp.

We the undersigned hereby specifically waive and give up and release all camp staff members and Trinity High School from any and all claims and liabilities, present or future, resulting from any camp related activities, or drills. We the undersigned also waive and give up and release all camp staff members and Trinity High School from any and all claims and liabilities, present or future resulting from any injury or illness which may be sustained or contracted while attending the camp.

Photo/Video Release

Campers at Trinity High School may be photographed or videotaped for informational purposes regarding the various summer offerings at Trinity High School. The photographs/videos may be published in newspapers, magazines, websites or other media publications. Any questions should be directed to Mr. James Torra H’12, Director of Admissions (736-2120). A parent who objects to his or her son’s being photographed or videotaped must notify Mr. Torra in writing.