Parents or guardians are responsible for securing the rides to and from the Summer Math Camp for their child(ren). Camp hours are from 8:00 a.m. to 12:00 p.m.
By providing your signature below, you ceritify that the child named above is in good health and has no physical or medical limitations that would cause daily camp activities to be detrimental or dangerous to the child. Parents/guardians should specify allergies and medical problems in designated section above.
You hereby attest that you are the legal parent(s)guardian(s) of the above-named child and hereby consent to the child(ren)'s participation in the activities associated with the camp.
By providing a signature below, you understand that FUNdamental Math LLC does not carry any insurance relative to the activities or for any injury that may occur to the above-named child(ren). You confirm that the child(ren) is/are (a) covered by insurance through your own insurance carrier; or (b) that you are personally and financially responsible for any and all medical costs incurred as a result of the child(ren)'s injury.
If the above-named child(ren) require(s) any emergency medical treatment or procedures during the activities, you hereby consent to and authorize the activity supervisor(s) to make any decision and take any action to arrange for such procedures or treatments in the discretion of the activity supervisor(s).
You release and waive, and further agree to indemnify, hold harmless FUNdamental Math, the individual members, agents, employees and representatives thereof, as well as activity supervisors, from and against, any claim which you, any other parent or guardian, any sibling, the above-named child(ren), or any other person, firm or corporation may have or claim to have, known or unknown, directly or indirectly, for any losses, damages or injuries arising out of, during, or in connection with the child(ren)'s participation in the activities (including all forms of transportation) or the rendering of emergency medical procedures or treatment, if any.
If, in the event of a medical or other emergency, you unable to be reached by telephone at your home or work telephone numbers listed above, you authorize the activity supervisor(s) to attempt to contact you through the emergency contacts listed below: