I do hereby waive, release and discharge Nameless Creek Youth Camp, Inc. and their respective staff and volunteers from any and all rights and claims for damage resulting from injury to my person or property, which may be sustained or suffered in connection with my association with or participation in or arising out of participating in events at the camp.

I (We), the parent(s) hereby waive any claim for damages that may result in injury to my child. 

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I (We), the parent(s) do hereby state that I am (we are) the parent(s) or legal guardians of the above-named student, a minor who resides with me (us). I (We) authorize an adult volunteer or the camp director to administer minor first aid and to consent to any necessary examination, anesthetic, medical diagnosis, surgery or treatment and/or hospital care and transport to be rendered to the above-named minor under the general or special supervision and on the advice of any physician or surgeon licensed to practice medicine in the state of Indiana.