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Camp 1 – June 3 - 6  /  Camp 2 – June 10 - 13  /  Camp 3 – June 17 - 20  /  Camp 4 – June 24 - 27  /  Camp 5 – July 1- 4  /  Camp 6 – July 8 - 11  /  Camp 7 – July 15 - 18  /  Camp 8 – July 22 - 25

I hereby request and give consent to the directors of Family Farm or duly appointed representative for my child to receive such medical or surgical aid as may be deemed necessary and expedient by a duly licensed or recognized physician or surgeon in case of an emergency when the parents cannot be reached. I also give my consent for Family Farm to transport my child in emergencies. * My child has permission to participate in activities such as archery, riflery, fishing, canoeing, paddle boats, riding cable swings/zip lines, games, creek activities, petting zoo and other activities that the camp directors feel are safe and supervised. * I release Family Farm their owners successors and any employee(s) from any and all liability for loss damage injury death illness or any other claim now and forever regarding the participation in any activities associated with Family Farm for myself my children and wards. * I give Family Farm permission to use photos taken of my child at camp for camp publications. In addition, I give my child permission for him/her to serve as a Junior Counselor at Family Farm.