Please fill out a registration form for each scholar individaully
Choose from one of the PayPal options to make your payment.
We recommend a canon DSLR model camera if available but LKM Studios will provide DSLR camera bodies for scholars who do not have one of their own. Email Laura for recommendations on cameras and lenses to get a beginner if interested! contact@laurakmoore.com
Directions: Please read carefully, complete the form and sign.
Participant (a) : First Name Last Name Age: Address: Street Address Address Line 2 City State Zip Primary Phone: Area Code Phone Number Additional Phone: Area Code Phone Number E-Mail: Email
Emergency Contact Name A: First Name Last Name Emergency Contact Phone A: Area Code Phone Number Relationship to Participant: Relationship Medical history: Special medical needs or concerns (allergies, conditions, etc.) By signing this registration form, I agree to the following “Release of Liability” Waiver: In consideration of the risk of injury while participating in this camp, and as consideration for the right to participate in this camp, I knowingly enter my scholar into this waiver and release of liability and hereby waive any and all rights, claims, or causes of action of any kind arising in my scholar’s participation, against Leman Academy of Excellence, Inc., their affiliates, managers, members, agents, staff, volunteers, representatives, and LKM Studios Staff for any physical or psychological injury, that my scholar may suffer as a direct result of my participation in this camp.MEDIA RELEASE: We would love to have permission to take pictures during the camp! Would you allow us to share pictures online? This might be in the form of a highlight reel and/or little videos or slideshow to capsulate the things learned and fun had! (We also aim to release a gallery of pictures for parents to see and order prints from at the end of each camp!) Signature Date: Date