Interactive Institute Registration 2023

Do you give the Coppell ISD Education Foundation and its partners permission to take and use photographs, video and/or quoted remarks?*

Yes, I give my full permission to take videos and pictures during camp

By agreeing below, I hereby acknowledge that I am enrolling my child in this camp offered by Coppell ISD Education Foundation (CEF). This camp will be held at the stated date and time in the Coppell Independent School District (CISD). In consideration for my child's being permitted to participate in the camp offered by CEF, I hereby execute this Release of Liability with the intent to bind myself, my spouse (if applicable), my heirs, assigns and legal representatives. I further represent that I am eighteen (18) years of age or older and competent to sign this affirmation and release.

I fully understand and agree that certain aspects of the camp could be physically demanding and that my child faces risks of accidental or other physical and/or emotional injury by participating in the camp. These risks may include, but are not limited to, (1) loss or damage to personal property, and (2) injury or fatality due to (a) use of machinery and/or electrical equipment, such as computers, engines and turbines, and (b) walking, running, jumping, or other physical activity, or inclement weather and conditions, which may cause slips and falls.

I understand and assume the risks for my child's participation in the camp. I further represent that my child is in good physical condition, and does not possess, nor am I aware of, any physical or mental disabilities that will limit his/her ability to participate in the course(s).

I EXPRESSLY AGREE AND INTEND THAT MY CHILD'S PARTICIPATION IN THE CAMP SHALL BE UNDERTAKEN BY MY CHILD AT HIS/HER OWN RISK AND THAT NEITHER CEF, ITS OFFICERS, EMPLOYEES, AGENTS OR ASSIGNS, CISD, ITS TRUSTEES, OFFICERS, EMPLOYEES, STUDENTS, AGENTS NOR ASSIGNS SHALL BE LIABLE FOR ANY INJURIES, DAMAGES, CLAIMS, DEMANDS, ACTIONS OR CAUSES OF ACTION WHATSOEVER THAT MAY ARISE OUT OF OR HAVE A CONNECTION WITH MY CHILD'S PARTICIPATION IN THE COURSE, WHETHER FROM ACTS OF ACTIVE OR PASSIVE NEGLIGENCE ON HIS/HER PART, OR THE PART OF CEF, ITS OFFICERS, EMPLOYEES, STUDENTS, AGENTS, OR ASSIGNS, OR CISD, ITS TRUSTEES, OFFICERS, EMPLOYEES, STUDENTS, AGENTS OR ASSIGNS AND I DO HEREBY AGREE TO FOREVER RELEASE, DISCHARGE, INDEMNIFY HOLD HARMLESS AND DEFEND CEF, ITS OFFICERS, EMPLOYEES, STUDENTS, AGENTS AND ASSIGNS, AND CISD, ITS TRUSTEES, OFFICERS, EMPLOYEES, STUDENTS, AGENTS AND ASSIGNS FOR ANY SUCH INJURIES, DAMAGES, CLAIMS, DEMANDS, ACTIONS OR CAUSES OF ACTIONS.

The laws of the State of Texas govern and construe the terms of this Release of Liability.

To accept the Liability Release above, please select Yes*

Yes

Name of person completing the Liability Release*

First and Last Name

Behavior Agreement
Each CISD student is expected to:
Demonstrate courtesy, even when others do not,
Behave in a responsible manner; always exercising self-discipline,
Obey all campus and classroom rules,
Respect the rights and privileges of students, teachers, and other staff and volunteers,
Respect the property of others, including district property and facilities,
Cooperate with and assist the camp staff in maintaining safety, order, and discipline, and

A camp staff member may initiate a formal removal of a student from camp if the above rules are not followed and no refunds will be given.

To accept the Behavior Release above, please select Yes*

Yes

I certify that I am the legal parent or guardian of:*

Student's First and Last Name

Name of person completing the behavior agreement*

Parent/Guardian First and Last Name

My Products

Interactive Institute Enrollment Fee

$200.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Student Information

Parent Information

Emergency Contact Information

Disclaimer Video and Photo Release

Liability Release

Behavior Release