By submitting this application, I confirm that, as parent/guardian of the child, I have sought competent advice regarding my child's health and well-being prior to completing this form. I agree to release the Armenian Holy Apostolic Church Canadian Diocese, Camp Ararat, and its medical staff, counsellors, and supervisors of any liabilities. In the event of an emergency, medical or hospital services may be required. I understand that every reasonable effort will be made by Camp Ararat and the hospital services to contact me (or the listed emergency contact). I authorize medical personnel and/or hospital staff to administer any necessary medical or surgical services to my child, including the use of anesthesia and medications. I understand that any costs related to such medical treatment are my responsibility.

By submitting this application, I confirm that both my child and I have read the Code of Conduct, the Freedom of Information and Protection of Privacy Act, and the Waiver and Release of Liability Agreement (available at www.campararat.ca/code-of-conduct-privacy-waiver/) and agree to their terms and conditions. I also agree to fully cooperate with counsellors and staff during the child's stay at Camp Ararat.