Global Education Center Summer Multicultural Arts Camp

Child's Name

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Parent or Guardian

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Parent or Guardian

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Parent or Guardian E-mail

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Emergency Contact

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Known Allergies or Special Instructions

Select a Week or Multiple Weeks

I hereby grant permission for my child to participate in all activities of the Global Education Center during the time my child is enrolled in the center's dance, movement and music classes. I understand that the Global Education Center staff and teaching artists will supervise my child while keeping his or her welfare as their highest priority. I also understand that the Global Education Center, its staff and its teaching artists will not be held responsible should an accident occur.

I confirm that I have provided all necessary information regarding my child's allergies and special needs. I also grant permission to any staff member of the Global Education Center to use reasonable first-aid measures and give consent for treatment in the unlikely event that I am unable to be contacted and a competent medical professional feels that my child needs medical attention. Should my religion prevent medical care, I confirm that I have given explicit alternative instructions for dealing with any emergencies.

By agreeing to this waiver, I give the Global Education Center permission for the use of my child's picture, or image to be used for promotion, or advertising purposes, understanding that at no time will my child's full name be used. If I wish my child to be exempt from being in photos shared publicly, I will sign the appropriate box below.

By signing this waiver, I give my child permission to perform at any opportunities made available by the Global Education Center with the understanding that I will be informed of any such performance in advance.

By signing this waiver, I commit to ensuring that my child attends class as regularly as possible, understanding that too many absences may prevent my child from participating in performances.

By signing below, I certify that I understand and agree to these terms.

Electronic Signature

We appreciate you registering your child with us. Please be aware that registering does not guarantee a spot in Summer Multicultural Arts Camp. You will receive an email shortly with further instructions and more information about the registration process.

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