Informed Consent and Acknowledgement
- I hereby state that my child is in good mental and physical health condition to participate in all of the activities and classes at GEM. I hereby give my approval for my child’s participation in any and all activities prepared by GEM Multicultural Center during the selected camp. I assume all risks and hazards incidental to the conduct of the activities, and release, absolve, and hold harmless GEM Multicultural Center. and all its respective officers, agents, and representatives from any and all liability for injuries to the said child arising out of traveling to, participating in, or returning from selected camp sessions. I hereby release GEM Multicultural Center from any and all liability, claims, suits, demands, judgments, costs, interest, and expenses (including attorney fees and costs) arising from, or related to, such activities and/or any related activities, including any accident or injury to the student and the costs of medical services. I also agree not to hold these parties responsible in the event that Son/daughter engages in inappropriate conduct (including, but not limited to disruptive or volatile behavior in or out of the center, etc.) or becomes involved in any activity or with any persons not associated with this program. I further attest that the information contained in this application is correct to the best of my knowledge. I hereby allow my child to be photographed and videotaped at GEM Center for the purposes of the Center’s promotional material and publications.
- I authorize GEM Multicultural Center to charge my card for the first 4 weeks of summer camp based on my selection above and additional weeks, if applicable.
- Fees are refundable 14 days prior to the start of the camp date. A 3% service fee will apply to all refunds