Yes No

Yes No

MEDICAL TREATMENT CONSENT: I wish to participate in the Download JCamp 08 and understand that whilst reasonable care will be taken to ensure the welfare & protection of me/my child, I release Coastlands International Christian Centre and its staff and volunteers from any and all liability for any and every injury, damage or loss that may occur to me/my child. In the case of emergency, I hereby give permission for the First-Aid staff to ensure proper treatment for me/my child. I understand that reasonable effort will be made to contact my parent before instituting such procedures, however in any event I or parent agree to pay all doctor, ambulance and hospital fees occurred on behalf of me/my child. I indemnify Coastlands International Christian Centre, its staff and its volunteers in respect of all liability incurred in relation to any and every injury, damage & loss sustained by me/my child in relation to the Download JCamp o8.

PARACETAMOL CONSENT: I give permission for the First Aid staff to administer paracetamol to me/my child.

INVOLVEMENT CONSENT: I/my child will participate in the activities and electives during the Download JCamp 08, and to the fullest extent permissible release Coastlands International Christian Centre, its staff and volunteers from all liability in connection with my/child’s participation in the camp.

PHOTO CONSENT: I/the parent give consent to have my/child’s picture taken on camera and video. Coastlands International Christian Centre reserves the right to use this material for promotional purposes.

I do not agree or consent with the above details for the children listed on this application. (please contact our office direct as you will not be able to submit this application)