Charleston Reads Registration
Camp/club family & child information
Email *
Parent's Name *
Parent Phone Number *
Family Address *
Emergency Contact & Phone Number
Child's Name *
Child's Birthday *
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T-shirt size *
Allergies & Dietary Restrictions *
Child #2 Name
Birthday
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T-shirt size
Allergies & Dietary Restrictions
I acknowledge and understand that Charleston Reads periodically photographs or videos its participants and their artwork and I grant my full permission for Charleston Reads to photograph, video, record, or reproduce images of my child(ren) and their artwork online, in print and on social media. *
Required

RELEASE AND WAIVER OF LIABILITY
I agree that I have voluntarily elected to register my child named above and I consent to the participation by my child in any and all Charleston Reads related programs, activities, and events. I agree, understand, and acknowledge that participation in Charleston Reads programs and activities by me and/or my child involves physical activity and inherent risk, which may or may not be obvious, of property damage, personal injury, and death. I assume all risk of property damage, personal injury, and death associated with and/or related to participation by me and/or my child in any and all Charleston Reads related programs, activities, and/or events.I, on behalf of myself and my child, agree to waive, release, indemnify, hold harmless, and forever discharge any and all claims, demands, damages, lawsuits, liabilities, and related causes of action of every kind and nature, which I and/or my child have or may have in the future, against Charleston Reads, its officers, members, volunteers, directors, employees, or agents for injury, loss, death, costs or other damages to me or my child or our property arising from or otherwise related to participation in Charleston Reads programs or activities, whether such claim, demand, suit, or cause of action be a contract claim, negligence or other tort claim, or claim for insurance coverage. I agree that this release and waiver is binding upon the undersigned and his/her respective spouse, children, heirs, next of kin, executors, administrators, representatives, successors and assigns. This release and waiver shall be subject to the laws of the State of South Carolina. The provisions of this release and waiver will remain in full force and effect even after termination of membership or cessation of participation in Charleston Reads programs, activities, and/or events.I agree that Charleston Reads does not assume any responsibility for or obligation to provide me and/or my child with insurance coverage, directly or indirectly. Charleston Reads does not insure members or participants in its programs, activities, and events. I agree that it is my responsibility to provide insurance coverage for me and/or my child if I desire to have medical, health, disability, auto or any other insurance coverage.I AGREE AND UNDERSTAND THAT BY MAKING AND SIGNING THIS RELEASE AND WAIVER OF LIABILITY THAT I SURRENDER VALUABLE LEGAL RIGHTS. I UNDERSTAND THE CONTENTS OF THIS RELEASE AND WAIVER OF LIABILITY AND AGREE TO BE BOUND BY IT VOLUNTARILY AND WILLINGLY. *
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