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May 17-20 at Cultus Lake United Church Camp
I agree to participate for the benefit of myself & others and I agree to abide by all the standards. I understand that the use of alcohol and non-prescribed drugs is prohibited. I agree to refrain from cigarette smoking this weekend. If I violate these rules, I will be asked to leave. Participant’s Name:_____________________________
The undersigned parent or guardian does hereby consent to their child attending the “May Retreat” youth event at Cultus Lake United Church Camp, and does hereby release and discharge the sponsors of the event and the camp facilities for any injury to person or property during his/her participation therein. I/We also give permission for any medical treatment necessary during the event. Parent/Guardian's Name:______________________________
Dated, ____________________2013, at ________________________________, BC