Please complete the registrations listed below. One per adult and one per camper. Small children must be listed on a parent(s) registration. They should be turned in by May 23rd.
PARENTAL AUTHORIZATION
in filling out this form
I HAVE READ AND AGREE TO ABIDE BY THE NOTES AND RULES OF WESTERN HOLINESS YOUTH. I DO HEREBY GIVE MY CONSENT THAT SUCH REASONABLE DISCIPLINE SHALL BE ADMINISTERED TO THE CHILD NAMED ABOVE, AS SHALL BE DEEMED NECESSARY BY CAMP PERSONNEL. IT IS UNDERSTOOD THAT EVERY EFFORT SHALL BE MADE TO CONTACT ME IMMEDIATELY IN THE EVENT OF THE NEED OF DISCIPLINARY ACTION.
IN FILLING OUT THIS FORM, YOU AGREE TO THE FOLLOWING
I AUTHORIZE MY PASTOR TO PROVIDE AN EVALUATION OF MYSELF; I WAIVE MY RIGHT TO INSPECT THIS EVALUATION; AND I RELEASE MY PASTOR FROM ANY LIABILITY FOR INFORMATION FURNISHED PURSUANT TO THIS AUTHORIZATION.
I FURTHER UNDERSTAND THAT THE DRESS CODE FOUND ON THE CAMP WHY RULES HAS BEEN SET BY THE CAMP ADMINISTRATION. AS A STAFF MEMBER/Attendee, I WILL BE EXPECTED TO, AND AGREE TO FOLLOW THE DRESS CODE AND RULES FOR MYSELF AND ENFORCE THESE RULES TO THOSE I SUPERVISE.
