Thank you for registering with Destination Science. Please read this information carefully. Your signature is required before registration will be considered complete. I the parent/guardian authorize Destination Science Staff to arrange emergency medical care for the named child(ren) while at Destination Science Camp. In the event of any emergency, I authorize Destination Science Staff to secure from any licensed hospital, physician, and/or medical personnel, any treatment deemed necessary for my child's immediate care and agree that I will be responsible for payment of any and all medical services rendered. I hereby acknowledge that all projects brought home from Destination Science Camp are to be used only under adult supervision. I hereby release Destination Science and the above named Location, its agents, owners and employees from any claims for accident, injury or loss of valuables that may arise out of, connected with or in any way associated with these programs/activities. I hereby give permission to photograph/video my child and allow use of pictures in advertising or reports about Destination Science Camp. I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. My faxed, emailed, or typed signature shall substitute for and have the same legal effect as an original form signature. My signature acknowledges my release and waiver of any claim for damages from any such accident, injury or loss. *
Please have your parent or guardian type their name below to agree to the above terms and conditions. Parent or guardian - by typing your signature below you agree to the above terms and conditions.
