2024 VICTORIOUS GIRLS SUMMER RETREAT REGISTRATION SUMMER RETREAT REGISTRATION FORM T-Shirt Size (check one) Youth: XS SM MED LG T-Shirt Size (check one) Adult: SM MED LG XL XXL XXXL EMERGENCY CONTACTS (Please provide 2 additional people, other than the parent or guardian listed above. MEDICAL INFORMATION (In case of emergency) SAFETY INFORMATION (Please list all known conditions so we can accommodate your camper’s needs): Yes Medical Release and Release of Liability: I authorize the staff and volunteers of Victorious Pathways to provide basic first aid or to call additional medical care on my child’s behalf in the event of an emergency if I cannot be reached or when delay would be dangerous to my child’s health. I further agree to release the Victorious Pathways and their staff and volunteers from any liability connected with my child’s participation in the summer camp program. Yes Camp Walking Field Trips: I authorize the staff and volunteers of the Victorious Pathways to take my child on walking field trips in the immediate vicinity of the summer camp location. Yes Photo Release: I authorize the Victorious Pathways staff members to take photographs and / or videos of my child while participating in Victorious Pathways programs. I understand that Victorious Pathways may use these photographs and videos for internal and external purposes including (but not limited to) press releases, websites, and publications. SEND Attn: Maria C. RobinsonTel: (562) 212-3594Email: [email protected]