I give permission for ________________ to Bedding is provided (sleeping bag and pil-
June 22-26
travel to “Summer Camp” with Harbor Cov-
low are not necessary)
enant Church (Gig Harbor, WA) June 23-27,
2008.
Closed toe shoes, money (two meals on
I hereby release Harbor Covenant Church, its the road & camp snack shack), Bible,
staff and sponsors, from responsibility and lia- warm clothes, toiletries, towel, one piece
bility for any injury and illness that my child may swimsuit, friends, camera, & passport!
sustain during this activity. In the event of an
emergency, I hereby authorize an adult leader
of this activity, as an agent for me, to consent
Do NOT bring:
to any x-ray examination; medical, dental or An IPOD, Mp3 player, CD Player, or any
surgical diagnosis; treatment; and hospital care other media device that requires head-
as advised by a physician, surgeon or dentist phones. Also, don’t bring any expensive
(as appropriate) as listened to practice under personal items, weapons, drugs, or alco-
the laws of the state/province where the ser- hol. If you have a question about an item
_____________________ _______
Parent or Legal Guardian Date
Team Competition
Medication Being Taken: _________________
_____________________________________