School's Out Adventure Camp Registration

Information

Parent/Guardian Information

Emergency Information

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Summit Academy Adventures during the selected camp. In exchange for the acceptance of said child’s candidacy by Summit Academy Adventures, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Summit Academy Adventures and all its respective officers, agents, and representatives from any and all liability for injuries to 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 Summit Academy Adventures including all coaches 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 sports activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Photo & Media Release Authorization

I, the undersigned parent or legal guardian of the above-named minor (“Camper”), grant Summit Adventure Camp, Inc., its affiliates, partners, staff, and authorized media personnel the right to take and use photographs, video recordings, audio recordings, and written testimonials of my child for the following purposes:

●  Publicity and promotional materials (brochures, flyers, posters)
●  Website and social media content (e.g., Facebook, Instagram, YouTube)
●  Email newsletters and fundraising campaigns
●  Press releases or local news coverage

I understand that:
●  My child’s first name and/or age may be included, but last names and personal contact information will never be shared publicly.
●  The media may be used for non-commercial purposes by Summit Adventure Camp, Inc. in perpetuity.
●  I will not receive any compensation for the use of my child’s image, voice, or written feedback.
●  All media becomes the property of Summit Adventure Camp, Inc.

Medical Release and Authorization

As Parent and/or Guardian, 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 athlete. 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 Summit Academy Adventures and its affiliates including Directors, Coaches, and Team 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.

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.