Genesis Hopeful Haven Allergen Release Form
WAIVER AND RELEASE OF LIABILITY - Each person attending any GHH Camp or Activity, must complete a Liability Waiver & Release form
I (participant or guardian),
fully understand and acknowledge
that meals and snacks will be provided each day of camp.
ALLERGY AWARENESS NOTIFICATION: If you or minor participant have food allergies, please be aware that Genesis Hopeful Have does not guarantee an allergen-free environment. Recipes may contain peanuts, nuts, nut oils, egg, shellfish, dairy, gluten, soy, produce and other food allergens.
Please sign and print your name below if you are 18 years and older to release liability.
Signature:
Printed Name:
Date:
If the participant is a minor or not their own guardian, parent or guardian must sign below.
I hereby certify that I am the parent or guardian of the above -mentioned individual and I give consent without reservations to the foregoing contract on behalf of him or her and release liability.
Participant minor’s full name:
Parent/Guardian Full Name (Printed):
Parent/Guardian Signature:
FOSTERING NEW BEGINNING