1. Victory Chapel Christian Center
Central Visayas
(Potter’s House)
Date: ____________________
PARENT’S CONSENT
I am writing to provide my consent for my child, ____________________________, to participate
in the Joint South A and South B Youth Camp, scheduled to take place at Dalaguete Beach Club
in Dalaguete, Cebu, from July 20th to 22nd, 2023.
I have been informed about the nature of the camp, which aims to promote youth engagement,
personal growth, and team-building activities. I believe that such experiences contribute positively
to my child's character development and overall well-being.
I acknowledge that the camp organizers and staff will take reasonable precautions to ensure the
safety and security of all participants. However, I release the camp organizers, staff members, and
any affiliated parties from any liability in the event of accidents, injuries, or any unforeseen
circumstances that may occur during the course of the camp.
I confirm that my child is physically fit and healthy to participate in the camp activities. I will
inform the camp organizers of any medical conditions, allergies, or dietary restrictions that my
child has, to ensure their well-being and proper care during the event.
Below are my personal details to be contacted in case of emergencies:
Cellphone number of the parent/guardian: _______________________
Alternative cellphone number: ______________________
Complete Address: _________________________________________
I appreciate your attention to this matter and thank you for providing this opportunity for my child.
I have read and understood the contents of this consent form and willingly grant permission for
my child's participation in the Joint South A and South B Youth Camp.
_______________________________
Parent’s/Guardian’s Signature above printed name