In consideration of the opportunity afforded to me or my minor child/ward to participate in the activity described in the Registration Form at the following locations:
City of Coral Springs: Coral Springs Charter School, 3205 N University Dr, Coral Springs, FL 33065
Broward College: Central Campus, 3501 Davie Rd, Davie, FL 33314
Broward Schools: Silver Trail Middle School, 18300 Sheridan St, Fort Lauderdale, FL 33331
City of Doral: Morgan Levy Park, 5300 NW 102nd Avenue / Doral Meadow Park, 11555 NW 58th Street &
Doral Central Park 3000 NW 87th Avenue, Doral, FL 33178.
Miami Dade College District Board of Trustees a/o Miami Dade College, West Campus, 3800 NW 115th Avenue, Doral, FL 33178
Parkway Christian School: 1200 S Flamingo Rd, Fort Lauderdale, FL 33325
City of Weston: 20200 Saddle Club Rd, Weston, FL 33327
City of Miami Lakes: 6411 NW 162nd St, Miami Lakes, FL 33014
(Name and Address of Facility)
I, the undersigned, on behalf of myself or my child/ward named in the Registration form, do freely agree to make the following contractual representations and agreements.
I, on behalf of myself or my child/ward named in the Registration Form, acknowledge and understand that participation in the activity involves the risk of serious injury, including permanent disability and/or death and severe social and economic losses.
I, on behalf of myself or my child/ward named in the Registration Form, do hereby knowingly, freely, and voluntarily assume all liability for any damage or injury which may occur as a result of me or my child/ward's participation in such activity and will indemnify and hold harmless form any and all liability to release, waive, discharge, and covenant not to sue Code Explorers, City of Doral, City of Coral Springs, City of Weston, City of Miami Lakes, Broward College, Broward Schools, Miami Dade College Board of Trustees its officers, agents, employees, and volunteers from any and all liability or claims which may be sustained by me, my minor child/ward, or a third party directly or indirectly in conjunction with, or arising out of participation in the activity described herein, whether caused in whole or in part by the negligence of the Code Explorers, City of Doral, City of Coral Springs, City of Miami Lakes, City of Weston, Broward College, Broward Schools, Miami Dade College Board of Trustees or otherwise.
I, on behalf of myself or my child/ward named in the Registration Form, grant permission to transport the participant to and from events, activities, programs, etc. when required and hold harmless those who transport.
REQUIREMENT TO DISCLOSE SPECIAL NEEDS OR BEHAVIORAL ISSUES:
Prior to, or at the time of registration, parents/guardians are responsible for notifying us of an officially diagnosed special need. Additionally, we must be informed if your child has been asked to leave another camp program and/or if your child has had disruptive behavior during his/her time in any other program. If your child has an aide during school, s/he will need one during camp. If your child is a return camper, please contact our office previous to enrolling, to communicate about recent information and to check in if enrollment possible. Your disclosures do not necessarily preclude your child's participation.
DISMISSAL FROM CAMP:
There are rare times when our Staff or Director must dismiss a child due to behavioral problems that preclude a child from participating safely in a group. If a camper is dismissed for aforementioned reasons, there will be no refund for the session.
Our staff is not licensed and unable to give regularly scheduled daily medications, so please administer those to your child before or after camp, or come by during the day if necessary - do not leave medication with your child. You also must add information about these medications to your child's online medical form. If there are any changes after submission, e-mail our office with updates at least one week before camp.
24 HOUR FEVER FREE:
Your child must be fever free for 24 hours before they can come to camp, as often a fever can go away in the morning, but return in the afternoon.
If we discover your child has nits or lice while they are at camp, staff will contact you to come pick up your child asap. Before they can come back to camp, they need to be nit free.
I give permission for any photograph, video tape, or any other form of audio visual record of myself or my child's participation with Code Explorers programs at the City of Doral, City of Coral Springs, Broward College, Broward Schools to be used by Code Explorers, City of Doral, City of Coral Springs, Broward College, Miami Dade College and/or Broward Schools, City of Miami Lakes, City of Weston, Parkway Christian School for publicity purposes.
I, on behalf of myself or my child/ward, have read the above provision, fully understand its terms, and understand that I, on behalf of myself or my child/ward, have given up substantial rights by signing this waiver and I acknowledge that I signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of any and all liability to the greatest extent allowed by law and I agree that, if any portion of this Registration Form is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.