Sulphur Springs Work Camp Registration

If the parent/guardian listed on the other side cannot be reached, who should we contact in case of emergency?

As a parent/guardian of the applicant, I hereby give my approval and consent to this application, and therefore release any sponsoring congregation, Sulphur Springs Work Camp staff member, and SSISD with whom my child will be lodging from any and all liability for sickness, accidents, or injuries of any nature caused whatsoever, while attending and traveling to or from Sulphur Springs Work Camp. The undersigned does also give permission for my child to ride in any vehicle designated by the adult in whose care my child has been entrusted while attending and participating in Sulphur Springs Work Camp. I further give authorization for the camp director or any approved SSWC personnel to transport my child to a local doctor’s office or hospital emergency room and to secure the services of a licensed physician. I further promise to utilize family insurance for any major medical care requiring hospitalization and agree that I shall be liable and pay for all costs and expenses incurred in connection with such medical services rendered to my child pursuant to this authorization.

Over-The-Counter Medications

I, the undersigned parent/legal guardian of the applicant, hereby give permission for my child to possess and/or be administered over-the-counter medications as needed during participation in Sulphur Springs Work Camp

I understand that these medications may include, but are not limited to, pain relievers (such as acetaminophen or ibuprofen), allergy medications, cold remedies, and topical treatments. I authorize the designated adult leaders, staff members, or volunteers associated with this event to administer such medications in accordance with the provided instructions on the medication packaging or as directed by me below.

I acknowledge that I am responsible for providing any necessary medications in their original packaging, clearly labeled with my child’s name and dosage instructions. I also agree to inform event staff of any known allergies, medical conditions, or restrictions related to these medications.

I release and hold harmless the event organizers, staff, volunteers, and affiliated organizations from any liability arising from the administration or use of these over-the-counter medications, provided they are administered in good faith and according to the directions given.