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2023 Maven Youth Summer Camp Participation Agreement Form

Please fill out the following form in order to participate in our tech camp.

Participation Agreement:

By electronically signing this Participation Agreement, I agree to the following:

  1. I (and/or my minor child/children) volunteer willingly to participate in the 2023 Maven Youth Summer Tech Camp.

  2. I (and/or my minor child/children) will only participate in activities that safely meet skill and ability levels.

  3. I understand that Maven Youth does not provide health insurance for me (and/or my child/children).

  4. I understand that a Maven Youth staff representative will attempt to contact the parent, guardian, or emergency contact listed on the Parent/Guardian Medical Release of a Minor Form in case of illness or injury. I authorize these representatives to contact paramedics and/or take me/my child to a hospital and be given treatment by paramedics and hospital staff as necessary.

  5. I understand that I (and/or my minor child/children) will bear all financial responsibility for any medical treatment arising from participation in 2023 Maven Youth Summer Tech Camp.

  6. I understand Maven Youth reserves the right to require that I (or my child/children) withdraw at any time when in their sole judgment, it is not physically safe to continue participating.

  7. I (and/or my minor child/children) are in good health and will inform the Camp Director of any health issues that may be of concern during the camp.

  8. I (and/or my minor child/children) will commit to taking a COVID test 1 day before camp.

 

Code of Conduct:

Camp participants are expected to maintain standards that uphold the Mission and the standards of Maven Youth Camp agreements, whether expressly stated or implied. Failure to do so may result in disciplinary action which may involve contacting the parents or guardians or suspension or expulsion from the camp.  This includes, but is not limited to the use of alcoholic beverages, tobacco products, the use of e-cigarettes or vaping, the misuse of drugs, and certain behaviors relating to harassment. By electronically signing below, I agree to the above conditions during my/child participation.

Image/Voice Permission:

Photographs or video/audio recordings may be taken of you and/or your child/children during this camp. Unless you request in written form to not be photographed, this Participation Agreement will be considered permission for Maven Youth to photograph, film, audio/video tape, record and/or televise your image and/or voice or the image and/or voice of your child/children for use in any publications or promotional materials, in any medium now known or developed in the future without any restrictions. If you object to using your image or voice or your child’s/children’s image or voice in this manner, please notify Maven Youth, in writing, upon submission of this Agreement.

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNIFICATION

  1. I understand that there are inherent dangers associated with this camp. These dangers include but are not limited to burns, cuts, loss of eyesight, personal injury, or even death. I assume full responsibility for any risk of loss, property damage, or personal injury that may be sustained by me or my child/children, or any loss or damage to property owned by me or my child/children as a result of participation in the 2023 Maven Youth Summer Tech Camp.

  2. I hereby RELEASE FROM LIABILITY, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Maven Youth, and any of the officers, servants, agents and employees of the above-mentioned entities (hereinafter referred to as RELEASEES) for any liability, claim and/or cause of action arising out of or related to any loss, damage or injury, including death, that occurs as a result of participation in the specified activities.

  3. I also ASSUME THE RISKS of my participation and my child’s/children’s participation in the specified activities and agree to not hold the RELEASEES responsible for any loss, damage or injury, including death that occurs as a result of participation in the specified activities.

  4. I further agree to INDEMNIFY AND HOLD HARMLESS the RELEASEES whether injury is caused by my or my child’s/children’s negligence, the negligence of the RELEASEES or the negligence of any third party.

  5. I further agree that this PARTICIPATION AGREEMENT shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representatives, if I am deceased, and shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the above-named RELEASEES.

  6. By electronically signing this PARTICIPATION AGREEMENT, I state that I have read, understand, and agree to the conditions set forth herein and that I sign this form freely and voluntarily.

Thanks for submitting!

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