Hindu Heritage Camp Registration
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Email *
              10 Aug 2022 @ SATSANG CENTER WOBURN MA
Child Name *
Child's Age *
Parent's Name *
Parent's phone number *
Parent's Email Address *
Emergency Contact Number *
Child with Any Food Allergies (Default Answer No) *
Parental Consent
 1. As the legal parent or guardian of the child identified above, I hereby consent to my child’s participation in Hindu Heritage Camp (HHC) conducted by the Hindu Swayamsevak Sangh U.S.A., Inc. (HSS).

2. As the legal parent or guardian of the child identified above, I hereby acknowledge that my child’s participation in HHC will include participation in athletic activities, such as games and yogasanas, and that participation in such athletic activities may expose my child to the risk of bodily injury. Accordingly, I hereby further acknowledge that I have given my consent to my child’s participation in HHC having assumed the risk of bodily injury to my child.

3. As the legal parent or guardian of the child identified above, in the event that my child suffers bodily injury while participating in HHC, I hereby authorize HSS and its officers, directors, representatives, agents, and volunteers present at HHC to authorize any emergency medical or surgical treatment deemed to be in the best interest of my child if I am unavailable or otherwise unable to do so. I hereby further agree to assume full responsibility for the payment of all fees and expenses incurred for any such emergency medical or surgical treatment so received by my child. The following insurance policy or coverage is available to cover the cost of all fees and expenses incurred for any such emergency medical or surgical treatment so received by my child:

4. As the legal parent or guardian of the child identified above, I hereby agree to RELEASE, INDEMNIFY, AND HOLD HARMLESS HSS and its officers, directors, representatives, agents, and volunteers (“the Indemnified Parties”) from all claims for damages or injunctive relief resulting from my child’s participation in HHC, including any claim alleging that damages or injuries were caused by the NEGLIGENCE of any of the Indemnified Parties.

5. As the legal parent or guardian of the child identified above, I hereby agree to taking pictures of my child participating in HHC activities and publish it in HHS related websites.

Parent/Guardian Consent Agreement *
Required
Health Ins. Company.: *
Policy No
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