Summer Camp Sign Up, Emergency Form and Permissions

EMERGENCY TREATMENT RELEASE AND PERMISSION. Dates when release intended: JUNE / JULY 2024. To Whom It May Concern: As a parent or guardian, I do herewith authorize the treatment of the following minor(s) in the event that attending personnel deems it indicated to avoid disfigurement, physical impairment or undue discomfort if delayed. This includes allowing Jordan Glen (JG) staff to administer over-the-counter medications such as Ibuprofen, Tylenol and Benadryl unless expressly prohibited by parent below. It is understood that efforts will be made to reach me as soon as practicable. I also give JG permission to use my, or my minor child's, likeness, image, voice, and/or appearance as such may be embodied in any form of media, i.e. pictures, photos, video recordings, audiotapes, digital images, etc., taken by or made on behalf of JG. I agree that JG and its directors have complete ownership and copyright of such media and that I will not receive any compensation for the use of such media. I hereby release JG and its agents and assigns from any and all claims which arise out of or are in any way connected to any actions as described in this paragraph. *