Camp Y.I. Parental Consent & Authorization Form

Teen Volunteer's Full Name

First

Last

Teen Volunteer’s Date of Birth

Teen Volunteer’s Email

Teen Volunteer’s Phone

Parent/Guardian Full Name

First

Last

Relationship to Volunteer

to Medical Name

Parent Email

Parent Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

General Liability Consent

I give permission for my child to participate in volunteer activities at Camp Y.I. and understand the camp environment includes physical activity and outdoor terrain.

Medical Emergency Authorization

I authorize Camp Y.I. staff to seek emergency medical care for my child if necessary.

Background Check Acknowledgment

I understand that my child will be supervised by trained staff and volunteers who have undergone background checks.

Media Release

I consent to photos or videos of my child being used for Camp Y.I. marketing or promotional purposes.
I decline

Parent/Guardian Signature

Clear Signature

Date SIgned