HR Camper Release Form

HR CAMPER RELEASE FORM

This Camper Release Form documents the enrollment, consents, medical authorizations, and legal release for participation in company-sponsored youth programs. Parent/Guardian and employee information is collected for administrative and safety purposes. Please complete all sections fully and sign at the end to indicate assent to the terms and authorizations below.

1. Camper Information

Camper Name:

Date of Birth:    Age:    Gender:

2. Parent/Guardian & Employee Information

Primary Phone:    Email:

3. Employment Information (Employee Bringing Camper)

Department:    Reporting Manager:

Start Date (employee):    Salary (annual):

4. Emergency Contacts (Other than Parent/Guardian)

5. Medical Information & Authorization

I authorize company-designated personnel to administer the medications described above as directed and to obtain emergency medical treatment for my child if necessary. I understand that I will be notified as soon as practicable in the event of significant illness or injury.

Consent to Emergency Treatment: I authorize emergency medical care and transportation if deemed necessary by program staff or medical personnel.

6. Authorized Pick-Up Persons

7. Transportation & Off-Site Activities

Transportation Consent: I authorize my child to be transported by company-authorized vehicles or contracted carriers for scheduled camp activities and field trips.

Off-Site Activities Consent: I authorize my child to participate in supervised off-site activities that are part of the program schedule.

8. Photo / Media Release

I hereby grant permission for the company to photograph and/or record my child and to use such photographs, video, or audio for internal communications, program materials, and organizational promotional materials. I understand that no personal contact information will be published with media without separate consent.

I consent to photo/media use     I do not consent to photo/media use

9. Behavior, Safety & Discipline

My child agrees to follow program rules and the directions of staff. The company reserves the right to remove a participant whose behavior endangers themselves or others or who repeatedly fails to follow rules. I understand that dismissal from the program for behavior reasons does not entitle me to a refund and that I will remain responsible for any outstanding balances.

10. Liability Release and Indemnification

In consideration of my child’s participation in company-sponsored camp programs, I hereby release and hold harmless the company, its officers, directors, employees, volunteers, agents, and representatives from any and all claims, liabilities, causes of action, losses, costs, and expenses (including reasonable attorneys’ fees) arising out of or in connection with injuries, illnesses, or damages to person or property that may occur during participation, except to the extent caused by the gross negligence or willful misconduct of the company. I agree to indemnify the company for any claims brought by third parties arising from my child’s actions while participating in the program.

I understand that participation involves inherent risks and that the company has taken reasonable steps to minimize risk through staff training, policies, and supervision. I acknowledge that no guarantee is made regarding the complete safety of participants.

11. HR Legal Disclosures

At-Will Employment: Employee participation in or association with company-sponsored programs does not alter the at-will nature of employment where applicable. Either the employee or the company may terminate the employment relationship at any time, with or without cause and with or without notice, unless otherwise provided in a written agreement signed by an authorized representative of the company.

Equal Opportunity: The company provides equal opportunity for participation and employment in accordance with applicable law and maintains policies prohibiting discrimination and harassment.

12. Employment History (Required for Administrative Records)

13. Education

14. References (Professional)

15. Applicant Certification & Authorizations

Applicant Certification: I certify that all information provided on this form is true and complete to the best of my knowledge. I understand that falsification, omission, or misrepresentation of information may result in denial of program participation or disciplinary action consistent with company policy.

Authorization to Contact: I authorize the company and its designated representatives to contact prior employers, references, medical personnel, and other relevant parties as necessary to verify information provided and to perform background checks and record verifications consistent with program participation requirements. I understand that such checks may include criminal background checks where permitted by law.

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