Kids science camp registration

Kids Science Camp Registration 2021
Parent / Guardian Information
Child Information
Eligibility is limited to the legal dependents of Heritage Group employees. We reserve the right to verify legal dependent status.
Emergency Contact Information
Disclaimers & Permissions
LIABILITY: I do hereby RELEASE and forever DISCHARGE The Heritage Group of companies, and their respective agents, officers and employees (collectively, “THG”), from all claims, demands, damages or claims for relief on account of any and all injury which may exist or which may hereafter arise from participation in this 2019 Kids Science Camp program. I do further agree to protect THG from any damages incurred by way of claim, demand or judgment and agree to reimburse THG for any loss, damage or cost incurred. I affirm under penalties or perjury that I am 18 years of age or older, and that I have executed the above foregoing WAIVER AND RELEASE FROM LIABILITY and that such are true and correct to the best of my knowledge and belief.
PHOTO RELEASE: I hereby do consent to and authorize THG to take photographs and/or video, to reproduce these images solely advertising and publicity purposes, and to publish the images in print materials, THG’s website, and/or THG’s social media profiles.
TRANSPORTATION & ATTENDENCE: I am able to provide reliable transportation to and from Kids Science Camp and my child will be attending all 3 days of camp.
CANCELLATIONS: Although Kids Science Camp is free of charge, it takes a lot of time, effort and funding to make it happen. If your child can no longer attend, please provide adequate notice to, so that another child can be given the opportunity to attend.