ENKIDS SUMMER CAMP Registration Form

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Child's name
Please choose a grade your camper will be entering this fall.
Parent/Guardian Name
Does your child have any allergies?
Does your child take require the need to use an epi-pen, inhaler, or other medical device (e.g., insulin pump)?
Does your child have accessibility, behavioral, or health needs that we should be aware of?
Permission & Agreement
Waiver:
My child participation in the program selected is voluntary. I understand that the selected activities may involve accidental injury and hereby voluntarily assume such risks. Knowing these risks, I want my child to participate in this activity. I (on behalf of my child) hereby assume the risk, and hereby waive, release, and discharge the ENKIDS, its officers, employees, activity instructors, assistants, volunteers and all officers and employees of the school or community center sites where said activity will take place, for any and all claims for damages for personal injuries, or claims for damages to property, which my child or my child’s heirs, assigns, executors or administrators may have or which may accrue to my child’s participation in this activity.
I authorize ENKIDS staff to secure emergency medical/surgical care from a licensed physician and/or hospital for my child should such care be necessary. I understand that all reasonable efforts will be made to notify me before such action is taken, and I agree that the expense of such emergency care will be accepted by me.

PUBLICITY RELEASE:
I consent and agree the ENKIDS to use of any photo, name, voice, video or film recording that are taken of my child while participating in the activity for use for the purposes of advertising or promoting the programs, any similar events, and/or ENKIDS on its media / platforms. No payment will be made for use of these photographs and/or videos.

REFUNDS: Refunds will not be issued for cancellations or withdrawals.
WEATHER: If weather does not allow field use, alternate practice facilities may be used or a make up session scheduled.
BEHAVIOR: ENKIDS reserves the right to release, without refund of program fees, any child whose behavior becomes unmanageable.
Price: $10.00
I agree to the following charge for registering for ENKIDS SUMMER CAMP