NWWI Safety Camp Registration Form

Camper information:
Parent information:
Additional information:
Emergency contact:
Medical information:

I understand that as a parent/guardian, I will waive all liability on the part of Safety Camp sponsors in case of a medical injury or accident. I authorize any emergency medical treatment that may be needed. I also hereby authorize Mayo Clinic Health System, its agents or employees or authorized media to make, use, edit and publish photographs, videotapes or other audiovisual records of my child for the intended purpose of publicity or public relations.