STEM Days of August 2018
Puget Sound e² Young Engineers
Parent/Guardian Last Name
Parent/Guardian First Name
Weeks Attending- please check all that apply
July 30- August 4 Adventure Camp
August 6-10 Candy Camp
August 13-17 Science Camp
August 20- 24 Superhero Camp
Any medical concerns or other that the instructor(s) need to know.
Payment Payment is due before camp begins. A non-refundable $50 deposit is required to save your spot, though there are early bird discounts available if you pay the entire balance before July 1. Photo/Video Release I give permission for photos/videos of myself and my child(ren) to be used by Puget Sound e² Young Engineers and e² Young Engineers on its local and corporate websites and in other marketing materials in original, edited or altered form to promote Puget Sound e² Young Engineers. Full last names will not appear in the photos/videos. I agree that there will be no compensation to the child, parent or guardian, and e² Young Engineers has no obligation to identify or give any credit to me or the child(ren). I agree that e² Young Engineers shall have unlimited rights to use the photos/videos for any purposes stated or related to the above. I release, discharge and hold harmless e² Young Engineers and their owners, agents, officers and employees from any and all actions, claims for damages, costs or expenses, including attorney’s fees, which relate to or arise out of the use of the photographs or videos including but not limited to claims for defamation or invasion of privacy. I represent and warrant that I am the parent or legal guardian of the e² Young Engineers student(s) named below, authorized to grant this permission on behalf of the students and myself, and I indemnify, defend and hold harmless e² Young Engineers from any inaccuracy in this representation and warranty. I authorize the assignment of this release and I authorize any assignee to rely on this instrument, but only for the promotion of e² Young Engineers. I give permission for my child(ren) to participate in Brick Challenge, offered by e² Young Engineers. By typing your name below, you agree to the above.
A copy of your responses will be emailed to the address you provided.
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