I Agree

In checking this box, I, , do hereby authorize GSBC to use any pictures that may be taken of me during the week to be used in future GSBC marketing materials and websites.

I Agree

In checking this box, I, , do hereby authorize the above named camper to attend Good Shepherd Bible Camp (GSBC) during the dates listed above. In addition I authorize GSBC to use any pictures that may be taken of my child during the week to be used in future GSBC marketing materials and websites.

I Agree

In checking this box, I, , do hereby authorize that I have read the list above and give permission to Good Shepherd Bible Camp staff to dispense items not checked as needed.

I Agree

In checking this box, I, , do hereby authorize that I have read the list above and give permission to Good Shepherd Bible Camp staff to dispense items not checked to my child as needed.

I Agree

In checking this box, I, , authorize Good Shepherd Bible Camp to arrange for necessary transportation to the nearest medical facility, specifically an ambulance, appropriate to the condition for urgent or emergency medical treatment, and I do assume all responsibility for payment for such treatment. I hereby give permission to the physician at the receiving facility to secure and administer any medical treatment deemed necessary for my child, including hospitalization.

I Agree

In checking this box, I, , authorize Good Shepherd Bible Camp to arrange for necessary transportation to the nearest medical facility, specifically an ambulance, appropriate to the condition for urgent or emergency medical treatment, and I do assume all responsibility for payment for such treatment. I hereby give permission to the physician at the receiving facility to secure and administer any medical treatment deemed necessary for my child, including hospitalization.

I will bring the original prescription bottles