PAHS Half-Day Summer Camps History Hunters: Monday, July 17th - Friday, July 21st Multicultural Marvels: Tuesday, August 8th - Friday, August 11th Age: 8-12 Time: 9:00 am - 12:00 pm Place: Historical Museum - 10 River Street East Cost: $50/child/camp Contact: [p] 306-764-2992 [e] museumeducator@historypa.com E-transfers can be sent to: finance@historypa.com
Child #1 Name
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First Name
Last Name
Child's Age
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Month
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Which camp are you registering child #1 for?
History Hunters: July 17th - July 21st
Multicultural Marvels: August 8th - August 11th
Both
Child #2 Name
First Name
Last Name
Child's Age
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Month
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Day
Year
Date
Which camp are you registering child #2 for?
History Hunters: July 17th - July 21st
Multicultural Marvels: August 8th - August 11th
Both
Parent/Guardian Name
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First Name
Last Name
Parent/Guardian Email
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Parent/Guardian Phone Number
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Emergency Contact Name
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First Name
Last Name
Emergency Contact Phone Number
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Emergency Contact: Relationship to Child
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Does your child have any allergies, dietary restrictions, existing illnesses or any medical conditions?
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Anything else our team should know to help your child have the best time at camp?
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Liability Release and Parental Consent Form
In consideration of the acceptance of my application for the Prince Albert Historical Society summer program, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to my child as a result of their participation in said summer program. This release is intended to discharge in advance the Prince Albert Historical Society, its officials, officers, employees, volunteers, and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assignees.
Parent/Guardian Name
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Last Name
Date
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Photo Release Form
I hereby authorize the Prince Albert Historical Society to publish the photographs or videos taken of me and/or the minor children listed below, for use on the Prince Albert Historical Society website and/or Prince Albert Historical Society social media and for display in the museum facility. I release the Prince Albert Historical Society and the summer program from any expectation of confidentiality for the minor children and myself and attest that I am the parent or legal guardian of the child or children listed below and that I have the authority to authorize the Prince Albert Historical Society and the summer program to use their photographs. I acknowledge that since participation in publications and websites produced by the Prince Albert Historical Society or the summer program is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by the Prince Albert Historical Society or the summer program confers no rights of ownership whatsoever. I release, the Prince Albert Historical Society, its officials, agents, volunteers, contractors and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the minor child or children listed below.
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I have read and understood the Photo Release Form, and accept the terms.
I decline to have my child’s photo taken and/or used.
Parent/Guardian Name
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First Name
Last Name
Child's Name
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First Name
Last Name
Child's Name
First Name
Last Name
Date
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