I affirm that I will obey all the rules of Oklahoma Wesleyan University and the Tri-State District of The Wesleyan Church. I will strive to be Christ-like in my actions and words and will show respect to the camp leaders, my roommates, other campers, and Oklahoma Wesleyan University property. I understand that failure to follow these rules could result in my early dismissal from camp or punishment equal to my offense.

I give consent for my child to join the Tri-State District of The Wesleyan Church Youth Camp and I fully understand the rules that have been set forth for my child to follow. The health information given above is correct, so far as I know, and I give permission to the camp medical team to administer medical aid as required for illness or injury under a physian's orders (including transportation to and form the necessary facilities). 

I, the undersigned, do hereby grant or deny permission to The Wesleyan Church to use the image of my child as marked by selection(s) below. Such use includes the display, distribution, publication, transmission, or otheriwse use of photographers, images and or videos taken of myself or my child for the use in materials that include but may not be limited to, printed materials such as brochures, newsletters, videos, and digital images such as those on the local, district, and general Wesleyan Church websites and social media. 

I recognize the certain hazards and dangers are inherent in the events and programs of the Tri-State District Youth Camp. I acknowledge that although Tri-State District Youth Camp has taken safety measures to minimize the risk of injury to participants, Tri-State District Youth Camp cannot guarantee that the participants, equipment, premises, and/or activities will be free from hazards, accidents, and/or injuries. 

In consideration of the Tri-State District Youth Camp accepting and permitting my child to participate in this trip, I agree that the Tri-State District Youth Camp, a momprofit corporation, its agents, officers, employees, trustees, and volunteers will not be liable for any injury, death, damage, and/or loss to my child, and/or anyone claiming on my child's behalf, and I further agree to hold harmless, indemnify and defend Tri-State District Youth Camp, its officers, agents, employees, trustees, and volunteers fro and from any and all damage during the trip, whether such injury, illness, or damage occurs on or off the church premises.