In the event of an emergency, I give permission to Sheboygan County Humane Society permission to treat any injury my child suffers and approve any medical treatment by the physician selected by SCHS to hospitalize, secure proper treatment for, and to order injection and/ or anesthesia and/ or surgery for my child(ren) *
I consent to my child’s participation in all activities and trips, which are part of camp and under the direction of SCHS staff and volunteers.
I give permission to SCHS to use photographs, motion pictures, or videotapes of my child in publicizing and promoting SCHS’s work.
The undersigned parent or guardian of the minor listed on this form hereby consents to the minor participating in camp of the Sheboygan County Humane Society, “SCHS,” and all of its activities and programs. The undersigned, for herself or himself and on behalf of said Minor(s), does hereby absolutely and unconditionally release, indemnify, hold harmless and forever discharge SCHS, its employees, successors, assigns, and agents and each of them, from and against any and all claims, demands, obligations, and liabilities of every nature and kind whatsoever including, without limitation, negligence, occurring during, directly or indirectly resulting from or arising out of the Minor’s participation in such camp. As to matters covered hereby, the CONSENT AND RELEASE shall extinguish all claims, demands, and rights which the undersigned or the Minor (and/ or each of their heirs, successors, and assigns) has or may ever have against the parties released hereby, or any of them, for any injuries, costs or damages to the Minor occurring during, directly or indirectly resulting from or arising out of the Minor’s participation in such camp whether such injuries, costs or damages are known or unknown, foreseen or unforeseen, ascertainable or unascertainable.
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