October 19th - 23rd
10:00am - 1:00pm
6690 US-136, Brownsburg

I, the undersigned parent/guardian, do hereby grant permission for my son/daughter, named above, to attend camp. In order for my child to receive treatment in the event that he/she may sustain injury or illness during Brownsburg Vineyard Church’s Kid City Camp, I hereby authorize the staff of Brownsburg Vineyard Church to obtain medical treatment for my child for such injury or illness during camp, and I hereby hold the staff and volunteers of Brownsburg Vineyard Church and sponsoring organizations, harmless in exercise of this authority. I further understand that there is always a possibility that my child may sustain injury while at camp. If this occurs, I hereby authorize the staff of Brownsburg Vineyard Church to refer my child to a medical treatment center, if they are unable to get a hold of me. I further acknowledge and understand that I will be held responsible for any medical bills that may be incurred. I authorize Brownsburg Vineyard Church to take pictures of my child participating in Kid City Camp. I give permission to use the photos in any promotional material.