Camp Application

As parent/guardian of the above named child, I agree to allow my child to participate in all programs, be photographed, videoed, and/or recorded while participating, and allow the use of any such photographs, videos, and/or audio for media materials related to the Program and any other applicable program managed/organized by S.T.A.R..S Youth Enrichment Program. I understand my child’s name will not be published. I also hereby agree and understand that I am entitled to receive no compensation for any of the photos, videos, or audio that may be used in these promotions.

I hereby warrant that I am the custodial parent or legal guardian and I have the legal authority to sign up the child named on this form and to the best of my knowledge the information on this application form is complete and accurate. I further understand that this is an application and the named child’s participation is contingent upon space being available in the program in which I want the child to participate. I understand that STARS prohibits staff members and volunteers from being alone with children they meet in the Program outside of the STARS Program or contacting a child in any way, including, but not limited to, in person, telephone, electronic communication, and/or social media. This also includes but is not limited to baby-sitting, tutoring, sleep-overs, etc.

I hereby release and shall defend, indemnify and hold harmless STARS Youth Enrichment Program, Inc., its employees, directors, officers, members, instructors, speakers, volunteers, sponsors, promoters, affiliates, representatives, and agents (all hereinafter referred to as “Releasees”), from every claim and any liability that I or my child may allege against Releasees (including reasonable legal fees and costs) as a direct or indirect result of injury or death to me or my child because of my child’s participation in any STARS Youth Enrichment Program activity or program, whether caused by the negligence of Releasees or others, to the maximum extent permitted by law. I promise not to sue and/or litigate against Releasees on my behalf or on behalf of my child regarding any claim arising from or related to my child’s participation in any STARS Youth Enrichment Program activity or program. I acknowledge that, by signing this document, I am releasing Releasees from liability, and that I am giving up substantial legal rights. This Application and Release Form is a contract with legal and binding consequences and it applies to all activities in which my child engages during the Program at STARS Youth Enrichment Program, Inc., regardless of whether such activity is a part of a formal program. This release is binding on me, my child, and my and his/her heirs, assigns and agents. I have read this release carefully before signing. I understand what this release means and what I am agreeing to by signing. It is understood that in the event that this Agreement is executed by only one parent or guardian, the signor acknowledges that he/she is also acting as agent of the other parent/guardian with authority to enroll the child in the Program and to execute this Agreement on his or her behalf.