Photography Camp Registration Form

Photography Camp Registration Form

Please fill out this form completely.
Camper's Name

First NameLast Name
Camper's Preferred Pronouns
Birth Date

MonthDayYear
Home Phone Number
Format: (000) 000-0000.
Mobile Number
Format: (000) 000-0000.
Email Address
example@example.com
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select T-shirt size
Please provide any medical or dietary restrictions your camper has

Family Information
Parent/Guardian's Name

First NameLast Name
Contact Phone Number
Format: (000) 000-0000.
E-mail Address
example@example.com

Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Format: (000) 000-0000.
Relationship to Student

Photography Release

I, the parent/guardian agrees that images taken of my child may be used on social media and/or marketing materials for Kayleigh Anne Photography and the Kayleigh Anne Photography Photography camp including but not limited to: Facebook, Instagram, my website and portfolio, and printed materials to be posted in the community.

I, the parent/guardian also agree that any images or art produced by my child during the duration of the Photography Camp may be used on social media and/or marketing materials for Kayleigh Anne Photography and the Kayleigh Anne Photography Photography Camp including but not limited to: Facebook, Instagram, my website and portfolio, and printed materials to be posted in the community.
Signature
Statement of Consent & Waiver

I hereby agree and declare that I am the legal parentguardian of the above-named child and hereby consent to the child's participation in the activities that are described to me in registration process.

If the above-named child requires any emergency medical treatment or procedures during the activities, I hereby consent to activity supervisor(s) to make any decision and take any action to arrange for such procedures or treatments in the discretion of the activity supervisor(s).

I, the parent/guardian, hereby agree and declare that I have carefully read and understand the scope of the summer camp activities and I consent to the participation of the above-named child to these activities.

Any type of injury that may occur to the child without the fault of the camp management and activity supervisors, the camp management cannot be held responsible for any harm that may occur to the child without the fault of the camp management and activity supervisors.
Signature
Should be Empty:

Photography Camp Registration Form

Family Information

Emergency Contact Information