Summer Camp - Aventureros

Camper´s Full Name*

First NameLast Name

Camper´s prefered Name*

First NameLast Name

Age:*

Enter Age

Date of birthday*

Date

Parent/Guardian's full name: *

NameLast Name

Contact Email*

example@example.com

Contact telephone number:*

Please enter a valid phone number.

Address:*

Enter Address

Emergency contact name and telephone:*

Enter Emergency contact name and telephone:

Describe the camper's swimming level:*

Enter Camper's swimming level:

Spanish level:*

BasicIntermediateAdvance

Does your child have any allergies or medical condition we should be aware of? If so, plese provide details. *

Enter Allergies

Can you tell us more about your camper, please? Likes, disklikes, challenges, hobbies, preferences, or anything else we should be aware of?

Additional information

WAIVER AND RELEASE OF LIABILITY

Semillitas Spanish in Nature

In consideration of being permitted to participate in Semillitas Spanish in Nature, I acknowledge and agree as follows:

I agree to assume all risks inherent in participation in the activities, whether or not they are apparent to me. Possible hazards including equipment and tools, open water and bonfires. I am aware that injury or death may result from my participation in the activities and from the use of the premises and facilities where the activity is located.
I certified that I am in sufficient physical condition to participate in the activities.
I hereby release Semillitas Spanish in Nature and its directors, officers, partners, contractors and their successors and assigns from and against any and all liability for any loss, damage, injury, expense, demand or cause of action that I may suffer whether with respect to personal injury, death, damage to or destruction of property, theft or otherwise, which may arise as a result of my presence in, upon or about the activities premises or my use of the activity premises.
I will indemnify and hold and hold harmless the releases, collectively and individually, from any and all losses, liabilities, damages, demands, costs, causes of action and expenses that they may incur, for any reason whatsoever, which may arise as a result of my participation in the activities, and my presence in, upon or about the activity premises.
I hereby give full permission to Semillitas Spanish in Nature to use photographs, videotapes, motion pictures, and records of me, or any record of the activities, for any legitimate purpose without any monetary payment to me.

I acknowledge that I have read this Waiver and Release of Liability, and have been given reasonable opportunity to discuss this with my legal counsel. Further, I acknowledge that I fully understand the terms of this Waiver and Release of Liability and that I have signed it freely and voluntarily without any inducement, assurance, guarantee or oral representation being made.

If the participant is under 18 years of age, the signature of a parent or legal guardian is required.

Signature*

Mis Productos

Register Summer Camp - Aventureros

$95.00

Total

$0.00

Detalles de la Tarjeta de Crédito
Nombre	Apellido
Número de tarjeta de crédito	Security Code
Expiración Tarjeta