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Attending this day?
Attending this day?
Attending this day?
Attending this day?
Attending this day?

Release and Waiver:

I, the undersigned, hereby declare and affirm that:

I am the parent/legal guardian of the youth named above (from now on referred to as "Child"), under my care and responsibility. I hereby consent and give authority to my Child's participation in the scheduled youth activities of the Art Summer Camp at P.U.R.E. and all other activities supervised and customarily associated with its youth group.

I hereby declare and affirm that my Child is physically fit to participate in the Camp's activities and has no known illness or adverse medical condition that would render him/her unfit to participate therein other than the information specified in the medical information above. I shall immediately advise the organizers in writing should I discover any illness, adverse medical condition, or any other physical defect that would render my Child unfit to participate in the recreational and sporting activities of the Camp.

I shall notify the organizers immediately if I revoke my consent to the Camp for this event.

Authorization for Medical Treatment

I understand that in case of medical emergencies involving my Child, I shall be notified immediately. In case any of my provided contact information is unreachable, I authorize the organization to call the doctor indicated above. In case the doctor is not available, I authorize the organizers to call any doctor to provide the necessary medical attention to my child.

I understand that the camp shall not be responsible and shall be reimbursed for any medical expenses incurred over this authorization.

I release and waive, and further agree to indemnify, hold harmless, or reimburse P.U.R.E. AND Just For Fun Art LLC., the individual members, agents, employees, and representatives thereof, as well as activity supervisors, from and against any claim which I, any other parent or guardian, any sibling, the child mentioned earlier, or any other person, firm or corporation may have or claim to have, known or unknown, directly or indirectly, for any losses, damages or injuries arising out of, during, or in connection with the child's participation in the activities (including all forms of transportation) or the rendering of emergency medical procedures or treatment, if any.

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