Mini Explores Half-Day Camp Wednesday, August 14th Age: 5, 6, 7, and an adult Time: 9:00 am - 11:30 pm Place: Historical Museum 10 River Street East Cost: $10 per camper Adults are free. If the adult is a current Prince Albert Historical Society member then their child's fee is waived. 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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Child #2 Name
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Attending Adult's Name
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Relationship to child
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Parent/Guardian Name
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First Name
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Parent/Guardian Email
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example@example.com
Parent/Guardian Phone Number
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Please enter a valid phone number.
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.
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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.
Photos may be taken, but please do not show their face.
Questions?
Please call Jeri at (306) 764-2992
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I understand that payment of the $10 camp fee is required at time of registration and is payable by: e-transfer to finance@historypa.com over the phone with a credit card or in person at the museum.
I will pay by etransfer to finance@historypa.com
I will pay in person at the museum.
I will call (306)764-2992 and pay with my credit card.
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