Makers Camp Release Form

Please complete form by June 7, 2018.

For questions or concerns about this form contact Alison Faison at 415-346-3832 or Wendi Digerness at 415-933-3441.

Makers Camp Release Form

  • NameRelationship to camperPhone Number 
  • NameRelationship to camperPhone Number 
  • I give permission to Calvary Presbyterian Church and City Church of San Francisco to use pictures and/or video of children and or youth listed above. Calvary and City Church will never publish minors’ names or identifying information in photos on our website.
  • I understand that the Makers Camp at Calvary staff will make every effort to contact me in the event of an accident, illness or injury to my child. I know of no physical, emotional or injury related conditions which will be aggravated by or which may affect my child’s ability to participate. I have provided all known medical conditions/concerns to the Makers Camp at Calvary staff. Please initial:
  • I recognize that risk of injury or potential health risk may be involved in participation in Makers Camp at Calvary. I recognize that the campers walk to an outdoor playtime at Alta Vista Playground. I, my heirs, executors, administrators, and successors hereby release, waive, and forever discharge Calvary Presbyterian Church and City Church San Francisco, all other organizations, associations and companies associated with any of the programs at Calvary Presbyterian Church and City Church San Francisco and their respective employees, volunteers, claims, demands, damage costs and actions whatsoever and however caused, arising or to arise by reason of my participation in the programs or any of its associated activities. Please initial:
  • NameDate