Medical Release, Authorization, and Medical Information

As Parent and/or Guardian of the named camper, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. 

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named camper. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. 

Permission is also granted to the Windmore Foundation for the Arts and its affiliates including Directors, Counselors, and Volunteer Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. 

Release authorized on the dates and/or duration of the registered camp. 

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Emergency Contact Information

 

Cancellation Acknowledgement/Refund Policy

Please note: This written cancellation policy is always binding. 

NO verbal communication from Windmore Foundation of the Arts board 

members/staff/volunteers can override the written policy. 

 
NO REFUNDS are given, however, to receive a credit for another program or workshop you must email youthfinearts@ windmorefoundation.org a minimum of 48 hours prior to the first day of camp, NO EXCEPTIONS. No refunds are given for any missed/sick days. 

Campers asked to withdraw from camp for Camper Code of Conduct violations will receive no credit/refund. 

Camp Director may at their discretion grant a full or partial refund for extenuating circumstances. Documentation may be required, and the decision of the Camp Director is final.

Media Release

I, the undersigned, do hereby consent and agree that Youth Fine Arts and Windmore Foundation for the Arts, its employees, or agents have the right to take photographs, videotape, or digital recordings of my child and to use these in any and all media, now or hereafter known, and exclusively for the purpose of publicity & historical documentation. I further consent that my childs name and identity may be revealed therein or by descriptive text or commentary. 

I do hereby release to the Windmore Foundation for the Arts, its agents, and employees all rights to exhibit this work in print and electronic form, publicly or privately, and to market and sell copies. I waive any rights, claims, or interest I may have to control the use of my childs identity or likeness in whatever media used. 

I understand that there will be no financial or other remuneration for recording my child, either for initial or subsequent transmission or playback. 

I also understand that Windmore Foundation for the Arts is not responsible for any expense or liability incurred as a result of my childs participation in this recording, including medical expenses due to any sickness or injury incurred as a result. 

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by The Windmore Foundation for the Arts during the selected camp. I assume all risks and hazards incidental to the conduct of the activities, and release, absolve and hold harmless The Windmore Foundation for the Arts. 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. 

In case of injury to said child, I hereby waive all claims against The Windmore Foundation for the Arts including all counselors and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all physical activities. 

CONFIRMATION

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Payment

The cost for each session of the camp:

$150 per session per child non-WFA member
$125 per session per child WFA member

Sibling discounts and scholarships are available. Contact Youthfinearts@windmorefoundation.org PRIOR to registering in order to receive a discount code!

Questions? Email us at: youthfinearts@windmorefoundation.org