Camp LiveGirl Acknowledgement and Permission Slip

This letter is intended to both inform you and receive your acknowledgement and permission for your child to participate in Camp LiveGirl on July 22nd through July 26th, 2019. Camp LiveGirl will take place at New Canaan High School (NCHS) in New Canaan, CT. Your child will be transported to and from Camp LiveGirl by either (please indicate on application):

  • WE Transport, Inc.

  • Parent/Guardian 

Camp LiveGirl participants will be supervised from drop off (after 8:30 am in NCHS Cafeteria) through dismissal time (4:00 pm) in the following ways:

  • By Camp LiveGirl staff during all scheduled Camp LiveGirl activities;

  • By Camp LiveGirl high school mentors; and/or

  • Volunteer parent chaperones.

All participants are required to abide by the established policies, rules and/or regulations. If your child fails to abide by these policies rules and regulations, your child could be prohibited from continued participation and may be sent home at the expense of parent or guardian.  

Your child’s participation in Camp LiveGirl on July 22nd through July 26th, 2019 is voluntary. Your written consent on the application form is necessary for your child to participate.  


I understand that given the nature of the program (i.e., involves physical activities), there is a risk of injury to my child that is inherent in the activities involved with this program.  These may include, for example, physical injury or damage to personal property. Understanding the inherent risk involved in physical activities, I acknowledge that LiveGirl does not provide medical or dental coverage for injuries incurred during camp activities.  By signing below, I acknowledge that I have made myself aware of any potential risk(s) associated with the camp activities and that I voluntarily and knowingly assume all such risk.

I authorize LiveGirl, Inc. to take and publish photographs and videos for use in printed publications, website, and social media.

I further acknowledged that I have read this acknowledgement and permission slip carefully and made certain that I understand it fully before signing the application.  I am signing this Acknowledgment and Permission Slip voluntarily (e-signature on application).

By providing my e-signature, I hereby grant permission for my child to attend and participate in Camp LiveGirl, on July 22nd through July 26th, 2019.  I hereby release and hold harmless LiveGirl and its members, officers, employees, representatives and authorized volunteers from any and all liability, liens, claims, demands, suits, judgments, actions, causes of action, costs, interest and expense (including attorneys’ fees and costs) for any other loss, damage or injury, including that caused by negligence, that may arise from my child’s participation in Camp LiveGirl and its activities. I acknowledge that my child may be sent home at my expense in the event that the camp officials determine that she has engaged in misconduct or demonstrated a lack of cooperation. I hereby acknowledge that I have read the full content of the waiver letter.