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STEAM Camp 2021 on Monday, June 21, 2021 @ 9:00 AM

40.00
*Attendee's Birthdate:
Attendee's Grade - Fall 2021:
*Attendee's T-Shirt Size:
*Attendee's Gender:
*Parent/Guardian Name:
*Family Church Affiliation:
*Emergency Contact Information:
Child's Allergies:
*Insurance Company:
Policy Number:
Special Instructions/Comments::
In consideration for being allowed to participate in this Activity, I release from liability and waive my right to sue Covenant Church, their employees, officers, volunteers and agents (collectively “Church”) from any and all claims, including claims of the Church’s negligence, resulting in any physical injury, illness (including death) or economic loss I may suffer or which may result from my participation in this Activity, or any events incidental to this Activity. I am voluntarily participating in this Activity. I understand that there are risks associated with my participation in this Activity, such as physical and/or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability, death or economic loss. These injuries or outcomes may arise from my own or other’s actions, inactions, or negligence, or the condition of the Activity location or facility. Nonetheless, I assume all risks of my participation in this Activity, whether known or unknown to me, or any events incidental to this Activity. I agree to hold the Church harmless from any and all claims, loss or damage to my personal property, liabilities and costs, including attorney’s fees, as a result of my participation in this Activity, including travel to and from the Activity or any events incidental to this Activity. If the Church incurs any of these types of expenses, I agree to reimburse the Church. I have read this document, and I am signing it freely. I understand the legal consequences of signing this document, including (a) releasing the Church from all liability, (b) waiving my right to sue the Church, (c) and assuming all risks of participating in this Activity, including travel to and from the Activity or any events incidental to this Activity. If I need medical treatment as a result of my participation in this Activity, or any events incidental to this Activity, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware that the Church does not provide health insurance for me and that I should carry my own health insurance. I grant to Covenant Church, its representatives and employees the right to take photographs of me and/or my children in connection with the activity. I authorize Covenant Church, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Covenant Church may use such photographs of me and/or my children with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web Content.: