SSF Summer E-Camps (GA)
This form is for those interested in the July e-camp program. We ask that you kindly fill out the form for the necessary information needed to conduct the classes.
First and Last Name of Participant
Participant's Grade (2020-2021 school year)
Participant City, State
Which Session are you registering for ?
Session 1 (Jul 20 - Jul 24)
Session 2 (Jul 27 - Jul 31)
Programs participating in:
Book Worm Club (2nd - 3rd Grade)
Book Worm Club (4th - 5th Grade)
Speech (2nd - 5th Grade)
Creative Writing (2nd - 5th Grade)
Tiny Scientists (2nd - 5th Grade)
Bollywood Dance (2nd - 5th Grade)
Web Design (6th - 9th Grade)
Student Phone Number (if applicable)
Preferred Parent Phone Number (used for WhatsApp contact)
Preferred Parent Email
How did you hear about us? Please be specific (Friend - name, WhatsApp group name, Email list, FB etc)
Liability Waiver Accepted by Parent
By saying yes below, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages, or which may hereafter occur to me as a result of participation in said event. This release is intended to discharge in advance Shooting Stars Foundation Inc, its officers, student and parent volunteers from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. I hereby give my consent to Shooting Stars Foundation to take photographs, video recordings, and/or sound recordings of me during my participation. I grant Shooting Stars Foundation my permission to use the negatives, prints, motion picture, video tapings, or any other reproduction of the same for promotional purposes on flyers, on the World Wide Web, or in any other manner deemed necessary. I expressly state that I have read, understand and am familiar with all provisions herein. I understand that this release is a contract and I sign it of my own free will. I agree to all terms and provisions herein.
Yes- I agree to the above as the participant's parent.
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