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Northwest Renaissance Festival |
| Home | Minor camper must have this form submitted to the Camp Supervisor BEFORE camping. Select and Print ALL of the text below: Northwest Renaissance Festival Minor Camping Permission Slip
Name of Minor _____________________________________________ 1. I give permission for the above named minor to camp at the site of the Northwest Renaissance Festival. 2. I have read and I understand the Rules and the Code of Conduct of the Northwest Renaissance Festival, Inc., and I understand the rules are for the safety and welfare of the above named minor and others. 3. I will not hold NWRF, Tienne L. Rogers, Gerald M. Whitehurst, etal, responsible for any lost, stolen or damaged property. 4. Liability from injury, disability, or death is my obligation and I shall indemnify and hold NWRF, Tienne L. Rogers, Gerald M. Whitehurst, etal, harmless from and against liability. 5. The adult(s) that I authorize to act as my agent while ____________________________________ is camping at the site is/are (please print): ____________________________________________ ____________________________________________ I also state that I am the legal guardian of the named minor. Signature of Parent/Guardian: __________________________________ Date: __________________ Print Name: _________________________________ Telephone: __________________ This Permission Slip applies for the following time period (dates): _____________________________________________________________________________________ In case of an emergency, notify the following person(s): Name: ______________________________________ Telephone: __________________ Name: ______________________________________ Telephone: __________________ Name: ______________________________________ Telephone: __________________ Preferred hospital: ______________________________________ |