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  • History Academy Camp

    Camper Participation, Waivers, and Releases
  • Form must be completed and submitted by the first day of camp.
  • Information about youth participant (Optional - Information helps the Museum secure funding for scholarships)

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Photo Release

    The undersigned agrees that the Military Heritage Museum, its agents, volunteers and its employees have the irrevocable and unrestricted right to produce photographs and video taken of my above-named child or ward, of myself, and of other members of my family while at History Academy Camp for any lawful purpose including publication, promotion, illustration, advertising, trade, or historical archive in any manner or in any medium. I hereby release the Military Heritage Museum and its legal representatives from liability for any violation or claims relating to said images or video. Furthermore, I grant permission to use the statements of my above-named child or ward, of myself, and of other members of my family given during an interview or evaluation with or without my name for the purpose of advertising and publicity without restriction to time limit or geographic area. I waive my rights, my child’s rights, and my family’s rights to any and all compensation stemming from the use of these materials.

  • Consent to Use the Laser Range, Waiver and Release

     

    AGREEMENT, RELEASE, INDEMNIFICATION, COVENANT NOT TO SUE, AND WAIVER OF LIABILITY

     

    The undersigned agrees that my above-named child or ward will be allowed to use the replica guns in the Military Heritage Museum’s laser range and will be allowed to shoot laser beams at bullseye targets. This program is designed to teach about the various weapons used in the military. The undersigned agrees that child/ward will abide by all the laser gun range rules and safety rules of the Military Heritage Museum.

     

    BY SIGNING BELOW, I HEREBY EXPRESSLY GIVE MY PERMISSION, CONSENT, AND AUTHORIZATION TO ALLOW MY ABOVE-NAMED CHILD OR WARD TO POSSESS, HANDLE AND DISCHARGE LASER-ONLY REPLICA FIREARMS ON THE PREMISES OF THE MILITARY HERITAGE MUSEUM.

     

    General Waiver and Release

    LiabilityReleaseandParentalConsent
    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 or ward as a result of their participation in said program.This release is intended to discharge in advance the Military Heritage Museum, itsofficials,officers,employees,volunteers,andagentsfromliability,eventhoughthatliabilitymay arise out of perceived negligence on the part of persons mentioned above.It is understoodthat some recreational activities typically involve an element of risk or danger of accidents, and knowingthose risks, I hereby assume those risks.

     

    Consent of the Parent or Guardian
    I give consent for my above-named child to participate in the above  program, and I execute the above liability release on my child’s behalf.

     

    Consent for Treatment
    I hereby give my consent to have the above-named child treated by emergency medical personnel, a physician, or surgeon, in case of sudden illness or injury while participating in the above activity. It is understood that the Military Heritage Museum will provide no medical insurance for such treatment, and that the cost thereof will be at my expense.

     

    I have read and understood the foregoing registration liability release and parental consent and I agree to all of its terms and conditions.

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