Waiver & Medical Release *
I grant permission for my child, noted on this form, to attend Power Up Kids Camp at Bethesda Pentecostal Church during scheduled events on June 23rd, 24th, 25th, 26th & 27th 2019. I also grant permission for my child to use to the free bussing for the purpose of attending a this program. I understand that all reasonable attempts are made to ensure the safety of each child that attends and/or travels to and from the event. I acknowledge that children are expected to either arrive at the program via the provided bussing or signed in and out by a designated adult. I acknowledge that the the safety of my child is a top priority at Power Up Kids Camp. I am aware that Power Up Kids Camp has a zero violence policy, which means that all children are expected to respect one-another in ensuring a safe atmosphere for all participants. If an act of aggression is directed from my child, or to my child, I will be contacted via a phone number I’ve provided. I will discuss this with my child, and realize that a child who is aggressive against another may be asked to remain at home for the following two consecutive Power Up Kids Camp events. I understand that all volunteers adhere to a Plan to Protect policy. I, the legal parent/guardian, grant my permission for the above child to receive medical care if deemed necessary while attendingPower Up Kids Camp of Bethesda Pentecostal Church. I agree not to hold Bethesda Pentecostal Church or any of its agents liable for any injury or loss that results from either travelling on the bus, attending this program or any of its related events.