Brilliant Labs Easter Coding Camp Signup
Camp Sign up - This camp is appropriate for ages 8-14. St. John's Camps are full
Note if your child is not feeling well, has a temperature, has had contact with someone with COVID 19 or has travelled or been in contact with someone who has travelled outside the province in the last two weeks please do not bring them to camp.
Which location and time are you interested in?
Grand Falls - Thursday April 8th am
Stephenville - Friday April 9th am
Stephenville - Friday April 9th pm
Parent's Full Name
Contact tracing phone number
Child's Full Name
Medical or special considerations (answer none if none)
Media release and assumption of liability
By submitting this form, I the below named individual give consent for Brilliant Labs to use my child's image in online materials, audio, and video media for the purposes of promotion.
In consideration for my child being allowed to participate in this Activity, I HEREBY RELEASE, discharge, covenant not to sue, and agree to indemnify, save and hold harmless Keyin Tech, Brilliant Labs, other participants, any Sponsors or advertisers, and their respective administrators, directors, agents, owners, officers, volunteers or employees (each considered one of the “Releasees” herein) from all liability, claims, demands, losses or damages on my account caused or alleged to be caused for any reason whatsoever, including without limitation, in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations, and I further agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement, I, or anyone on my behalf, makes claim against any of the Releasees, I will indemnify, save and hold harmless each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which any and all of them may incur as the result of such claim.
I have read, understood, and am willing to sign the above waiver
Yes for the assumption of liability, but No to having my child's image used.
Please print Parent's Name here
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