Spring Break Arts Camp-2020
Email address *
Week One - April 13 thru 17 - Kilton Library *
Week Two - April 20 thru 24 - CSBCC *
Participant's first and last name. *
What school do you attend? *
What grade are you in? *
What forms of Art are you interested in? *
Parent/Guardian full name(s) *
Parent/Guardian email address *
Parent/Guardian's Phone *
As part of our Spring Break Arts Camp, we may take photographs and videos of participants in action. This media could be used for promotion of the program or agency. Any use of these images will NOT include names and/or other personal information of the participants. Do you consent to Second Growth using your child’s photograph and/or video image for the purposes mentioned? *
(A)I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from Second Growth's Spring Break Arts Camp. (B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned here from any and all liabilities or claims made as a result of participation in Spring Break Arts Camp, whether caused by negligence or otherwise.The accident waiver & release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. By agreeing to these terms, I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT ON MY OWN FREE WILL. *
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