Ecology Camp 2003

STATEMENT CONCERNING SWIMMING BY PARTICIPANT

After the Day activities your child may have the opportunity to swim or kayak ($15.00 extra charge). Swimming will be allowed only with a certified lifeguard present and only during designated times.

 

Student _________________________ has my permission to swim.

Check one: _____Yes _____No

I expressly agree not to hold the Sierra Club High School Hikers Program responsible for supervision of participants who enter into the above activity and I expressly agree to hold the Sierra Club High School Hikers Program harmless for any injury, death or loss arising from the above activity.

________________________________

(Parent’s/Guardian’s Signature)

________________________________

(Parent’s/Guardian’s Signature)

________________________________

(Student’s Signature)