Offsite Permission Slip

The undersigned does hereby give permission for the child identified on this form to attend and participate in the High School Retreat of Camp at Oak Hill offsite activities, including transportation by vehicle to and from. The child identified on this form understands that all students are expected to abide by the Program rules and will be directly responsible to the Head Chaperone. The undersigned does also authorize an adult, in whose care the minor has been entrusted, to consent to any X-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment, and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.

The undersigned shall be liable and agrees to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization. Should it be necessary for the child to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs.

Further, the undersigned does also release and hereby agree to hold blameless Oak Hill Christian Service Camp and/or its employees and agents as well as Compass Christian Church & Fairmount Christian Church and/or its employees and agents from any and every claim arising or which may be asserted by me or any member of my family by reason of participating in the High School Retreat at Oak Hill offsite activities Program. The undersigned does also release the leaser of properties on which the High School Retreat at Oak Hill offsite activities Program is held. Further, the undersigned does also gives Oak Hill Christian Service Camp permission to use photos and video taken at the High School Retreat at Oak Hill offsite activities in promotional materials.

My consent and signature are given below, which confirms that I have read and agree to all of the above information.