Summer Camp Enrollment Form Logo
  • Summer Camp Registration

  • CHILD INFORMATION:

  • PARENT/GUARDIAN INFORMATION:

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  • Emergency Contact

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  • Summer Camp Waiver and Release of Liability:


    I hereby give my permission for my child(ren) to participate in the EPIC! Engineers Summer Camp Program. Participation in any program which involves physical activity exposes the camper to certain risks and dangers. Accidents and injuries are always a possibility, and it is impossible to foresee and protect the camper from all conceivable dangers. I hereby affirm that my child(ren) has/have no conditions that would make it unsafe for them to participate in the camps program selected.


    I understand that the camp may exclude my child(ren) from Summer Camp in the event that I or my child(ren) fail to abide by the EPIC! Engineers' health and safety protocols, disrupt, impede or interfere with the operations of the Summer Camp, or threaten the health, safety or welfare of other participants or Summer Camp staff, and that no refund of any fees will be made in such circumstances. 


    Medical Consent: I understand that  EPIC! Engineers will make every effort to contact me in the case of an emergency. I give my permission for the camp to administer any medications needed and to provide and arrange for and consent to any necessary medical treatment for my child(ren) while at the camp, including onsite and offsite emergency care. I accept responsibility for the costs of all such medical treatment.


    Photography Release: In consideration of child(ren)’s participation in EPIC! Engineers Camp, and without any further consideration from the camp, I hereby grant permission to the camp, staff and affiliates to utilize my child(ren)’s appearance, performance or voice in any and all manner and media throughout the world for the purpose of promotion, reporting or publication according to the camp’s mission. The camp may use my child(ren)’s, likeness, voice and biographical material in connection with publication, promotion, exhibition and distribution of such material. I understand that no royalty, fee or any other compensation of any kind shall become payable to me by reason of such release and use of any photograph. 


    By signing this Waiver and Release of Liability, with acknowledgement of potential risk involved, on my own behalf and on behalf of my child(ren), I hereby voluntarily release and forever discharge W.Ross Engineers an affiliate of MCM non-profit DBA EPIC Engineers S.T.E.M Camp, its trustees, board, officers, employees, consultants, agents, insurers, affiliates and contractors from any and all legal or financial responsibility for any personal injury, disability, illness, damage, medical expense or death, arising from or related to my child(ren)’s participation in Summer Camp. I agree, for myself and my child(ren), not to make any type of legal or equitable claim on the Business and Camp, or any of its trustees, officers, employees, agents, insurers or contractors with respect to any injury I or my child(ren) may suffer, whether or not it arises through the negligence, omission, default or other action of anyone affiliated with the camp, including other campers. I further agree that if any such claim is made, I will indemnify and defend the camp with respect to any such claim, injury or damage.

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