Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by Junior Barber Academy during the selected camp. In exchange for the acceptance of said child’s candidacy by Junior Barber Academy ., I assume all risks and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Junior Barber Academy. and all its respective officers, agents, and representatives from any and all liability for injuries to the said child arising out of traveling to, participating in, or returning from selected class sessions. In case of injury to said child, I hereby waive all claims against {Junior Barber Academy}. 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 activities, including cutting hair. Some of these injuries include but are not limited to, the risk of fractures, paralysis, or death.
Medical Release and Authorization As Parent and/or Guardian of the named athlete, 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 Junior Barber Academy. and its affiliates including Directors, Teachers, and Class 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 season. 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.
Media Release I authorize Junior Barber Academy to record my child's image and voice who participating in Junior Barber Academy. I understand and agree that these audio, video, film, and print images may be edited, duplicated, distributed, reproduced, broadcasted, and reformatted in any form and manner without payment of a fee in perpetuity. I also give permission to Junior Barber Academy to use the photographs, audio, and video of my child for promotional purposes, including but not limited to the Junior Barber Academy website, Annual Report, Newsletter, Summer Camp Guide, and other marketing and communication materials.
ConfirmationBY 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.
use this link for SHOP/PAY to make payment options for this class
Another payment option assistance we use is PAYPAL Credit link below
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PAYPAL CREDIT LINK CLICK HERE
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