It is my intention to fully participate in Man Camp. I hereby verify that the above information is complete and accurate to the best of my knowledge. I verify that all pertinate immunizations are up to date, and hereby grat permission to be given first aid and emergency treatment by camp personnel and/or by the hospital emergency room incase of incapacitation and/or if the chosen emergency contact cannot be reached. I voluntairly waive any claim against Mountain Lakes Bible Camp or camp personnel against all liabilty, claims, damages, attorney fees, or expenses araising out of, or in connection to, any activities of Mountain Lakes Bible Camp. I also give permission for my photo or image to be used in any media presentation for Mountain Lakes Bible camp. By entering my name in the box below, I am providing my digital signature on this form.