Information about you:

Information about your student:

Emergency Contacts & Pickup Information:

Emergency Medical Authorization

In the event of illness, injury, or accident involving my child and if I cannot be contacted in a timely manner, I authorize camp staff to seek emergency medical attention for my child, including examination, diagnostic testing, first aid, transportation, hospital admission when recommended, and the administration of medication or other treatment deemed necessary by licensed medical personnel. I understand that this consent is intended for emergency situations only and does not replace routine parental consent.

Photo / Video Consent

I give permission for camp staff to photograph and/or video record my child during camp activities and to use those images or recordings for camp publicity, promotion, website content, social media, printed materials, newsletters, and related outreach. I understand that the camp may use group or individual photos.

Parent / Guardian Agreement

Shenandoah Valley Theatre Collective is a faith-based theatre education program committed to creating a safe, respectful, and encouraging environment for all participants.

Assumption of Risk

I, the undersigned parent or legal guardian of the above-named child (“Camper”), understand that participation in theatre camp activities involves inherent risks, including but not limited to: physical activity (such as movement, dance, stage combat exercises, and games), use of props, use of basic stage equipment, participation in rehearsals and performances, and general risks associated with group programs for children.
I understand that these activities may result in minor injuries (such as bumps, bruises, sprains) and, in rare cases, more serious injuries. I acknowledge and voluntarily assume all risks of injury or harm arising from my child’s participation in this camp, whether known or unknown, foreseeable or unforeseeable.

Release of Liability

In consideration of my child being permitted to participate in this camp, I, for myself and on behalf of my child, our heirs, executors, administrators, and assigns, hereby release, waive, and discharge the camp, its owners, directors, officers, employees, contractors, and volunteers from any and all claims, demands, causes of action, damages, or liabilities of any kind arising out of or related to my child’s participation in the camp or presence on camp premises, except to the extent caused by the camp’s gross negligence or intentional misconduct.

Indemnification

I agree to indemnify and hold harmless the camp, its owners, directors, officers, employees, contractors, and volunteers from any loss, liability, damage, or cost (including reasonable attorneys’ fees) they may incur due to my child’s participation in the camp, my child’s violation of camp rules, or my failure to comply with the terms of this agreement.

Medical Treatment

In the event of illness or injury, I authorize camp staff to seek emergency medical care for my child as described in the Emergency Medical Authorization section of the registration packet. I understand and agree that I am financially responsible for all medical treatment and related costs.

Personal Property

I understand that the camp is not responsible for loss, theft, or damage to personal property that my child brings to camp, including but not limited to phones, electronic devices, clothing, costumes brought from home, or other personal items.

Compliance with Rules

I understand that my child is expected to follow all camp rules and staff instructions. I acknowledge that serious or repeated violations of the Code of Conduct may result in my child’s removal from the program, and I understand that no tuition refunds are guaranteed in such cases, consistent with the camp’s cancellation and refund policy.

Acknowledgment

I have carefully read this General Liability Waiver and Release of Claims. I understand its terms, understand that I am giving up substantial legal rights for myself and my child, and sign it freely and voluntarily.

Electronic Signature Agreement

By typing my full name below, I certify that I am the parent or legal guardian of the child listed above; I have read and consent to the above Emergency Medical, Photo/Video, and Parent/Guardian consents and agreements; and that my typed name serves as my electronic signature, with the same force and effect as a handwritten signature.