Al-Hidaya Summer Camp Consent and Waiver Form - Islamic Society of Greater Milford

Consent and Waiver Form

al-hidaya summer camp 2025 - consent and waiver form

Please answer all the questions in this form and electronically sign it before submission.

Al-Hidaya Islamic School - Consent and Waiver Form

Parental Consent and Waiver Form

Student Information

For how many students do you want to fill the form ?(Required)

Student 1 - Full Name(Required)

First Last

Student 1 - Date of Birth(Required)

Student 1 - Gender(Required)

Student 1 - Current School Grade(Required)

Student 2 - Full Name(Required)

First Last

Student 2 - Date of Birth(Required)

Student 2 - Gender(Required)

Student 2 - Current School Grade(Required)

Student 3 - Full Name(Required)

First Last

Student 3 - Date of Birth(Required)

Student 3 - Gender(Required)

Student 3 - Current School Grade(Required)

Student 4 - Full Name(Required)

First Last

Student 4 - Date of Birth(Required)

Student 4 - Gender(Required)

Student 4 - Current School Grade(Required)

Parent Information

Parent Full Name(Required)

First Last

Relationship to Student(Required)

Parent/Guardian Email Address(Required)

Parent Phone Number(Required)

Parental Consent and Waiver Form

1. Emergency Care Authorization(Required)

In the event of a medical emergency, I authorize the staff of the Islamic Summer School to obtain necessary medical treatment for my child.

Yes

2. Participation Consent(Required)

I give permission for my child to participate in all school activities, both indoor and outdoor, including educational games, arts & crafts, and field trips (if applicable).

Yes

3. Media Release(Required)

I give permission for my child’s photo/video to be taken during school activities for educational and promotional purposes.

I do not give permission for photos/videos of my child.

4. Liability Waiver(Required)

I understand that all reasonable precautions will be taken to ensure the safety of students, and I will not hold the school or its staff liable for any accidental injury.

Consent(Required)

I agree to all the above points

Write your name for Electronic Signature(Required)

Date

Turnstile

Consent and Waiver Form

al-hidaya summer camp 2025 - consent and waiver form

Al-Hidaya Islamic School - Consent and Waiver Form

Student Information

Parent Information

Parental Consent and Waiver Form

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