I hereby grant consent to the release of photographs and/or video footage of my child to DMB Elite, for commercial and art purposes in any medium of advertising, communication,
publication, or publicity that will promote DMB Elite programs and services, and/or recognition of participants.
Only If Applicable
I give permission for my child to keep an epipen
or inhaler In his/her possession at camp. I will also provide an extra epi- pen or inhaler that will be kept in the camp
Health Center for emergencies.
It is my sincere wish that my child enjoy the experience afforded at camp and I understand that even after reasonable precautions have been taken, many activities such as, hiking, horseback riding, playing games in the woods and swimming have inherent risks. In consideration of participation in this program, I hereby indemnify and hold harmless, all Run for Fun Camp coaches, its agents, its employees, and volunteers working for Run for Fun Camp for all any and all liability for injury suffered by myself or my child arising from or connected with this program, but NOT to the extent that such liability is due to willful misconduct by Run for Fun Camp, Inc.
In addition, please download the Camp Jones Gulch Liability Waiver, fill it out and return it by email to firstname.lastname@example.org or mail to David Barth by June 1st.
418 Yerba Santa Avenue
Los Altos, CA 94022
Camper 1 Camp Selection*
Camper 2 Camp Selection*
Camper 3 Camp Selection*
We encourage you to pay online as there is no additional fee for paying via credit card. If you are unable to, please contact us to discuss sending a check. All payments must be received before a spot is reserved at camp.