Camper Medical & Photo Waiver

Camper Medical & Photo Waiver 2018-01-18T13:27:01+00:00

Please read and understand the following release and authorization for treatment. 

I hereby provide consent for my son or daughter to participate in NorthWoods’ camp program and activities, either on or off camp property. I understand that while NorthWoods programs are designed and operated by experienced staff who prioritize safety at all times, the risk of injury can not be totally eliminated.

In the event that my child needs emergency medical treatment, I hereby authorize NorthWoods Stewardship Center to obtain emergency medical treatment on behalf of my son/daughter if I can not be reached. I authorize payment of medical benefits to the health care provider for any necessary services and the release of any medical or other information necessary to process claims for visits incurred.

Finally, NorthWoods uses images of its campers and camp programs in a variety of reports and publications. These images represent NorthWoods and its programs and are essential in documenting and promoting the Center’s accomplishments. By signing this document I give the NorthWoods permission to use images of me/my child in its reports, pamphlets and publications.

I have read the information above and understand its meaning. I have also answered all questions honestly and accurately and certify, to the best of my knowledge, that the information provided is correct.

By submitting my online application, I acknowledge that clicking submit constitutes an online signature agreeing to these terms, by which I am legally bound.

View and print the Medical Form & Waiver.