Camp GameDesign Onsite Signup July5

Student Information - Step 1 of 4

Students Name *

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Last

Students Birthday *//

Address *

Address Line 1

Address Line 2

City

State

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CANCELATION & REFUNDS For any summer event, cancellations or refunds will incur a $50.00 administrative fee. No refunds will be issued 7 days or less before the start of the summer event, except where medically necessary as approved by Creative Destiny. In addition, Creative Destiny reserves the right to cancel any camp for which there is insufficient enrollment, with the understanding that participants already enrolled will receive a full refund. Creative Destiny will not be held liable for any cost that a participant or their family might have incurred in preparation for the camp. By Selecting this box, you acknowledge that you have read the cancellation policy and will complete and sign documents that are required by Creative Destiny before any registrant can officially participate in any CD summer event. PHOTO AUTHORIZATION Creative Destiny may take photographs for promotional material. I acknowledge if I do not want my child/I to be photographed, I will email a written notice. I acknowledge that my child/I may be photographed during Creative Destiny's classes or summer events/camps. These photographs, which will be owned by Creative Destiny may appear in Creative Destiny's promotional material unless otherwise specified by myself/parent/guardian. Photographs used will not identify students, nor will any compensation be extended for such use. RELEASE of LIABILITY As parent/guardian/student, I assume all responsibilities and waive any claim for compensation for accidental injury incurred by my child/myself while at Creative Destiny premises: In Leander, TX 78641. or otherwise in the care of Creative Destiny staff, and hereby agree to indemnify and hold harmless Creative Destiny, its agents, employees or servants, whether paid or volunteer, against any and all claims which may arise from any injury to said child/student/person while participating in our programs. I understand and agree that: I recognize there are dangers and risks to which I and others may be exposed by entering on Creative Destiny premises located at Leander, TX 78641. The significant dangers and risks associated with our activity include -but are not limited to- injury to myself, my child and others, contracting of illnesses including COVID-19, damage to my property or that of others, death of myself or others. I understand that Creative Destiny is permitting individuals to enter the premises despite the ongoing spread of COVID-19, commonly known as "the CoronaVirus." Despite efforts to prevent the spread of this virus, customers might contract this virus at Creative Destiny. Said permission for customers by Creative Destiny to enter the premises is not to be relied upon as determination that it is safe or advisable even if done in accordance with Center for Disease Control guidelines, State of Texas guidelines, federal guidelines, local guidelines, and/or any other statutes, regulations, guidelines. All persons who enter the premises of Creative Destiny do so at their own risk and peril. Creative Destiny has no liability under any theory of liability for permitting Customers to enter the premises at any of the location addresses listed above, therefore, I (the customer) agree to assume and take on myself all the risks and responsibilities in any way associated with my entry onto the premises of Creative Destiny. In consideration of and return for the opportunity to enter the premises of Creative Destiny, I release Creative Destiny and all its owners, employees, and agents from any and all liability, claims, and actions that may arise from injury or harm to me or others, including death, or from damage to my property or to property of any other in connection with my presence at Creative Destiny. I assure Creative Destiny that there are no health-related reasons or any problem which preclude or restrict or otherwise advise against by presence at Creative Destiny premises. I further assure Creative Destiny that I have adequate health, property, and liability insurance necessary to provide for and pay any medical costs or property damage that may directly or indirectly result from my presence at Creative Destiny and I will indemnify and hold Creative Destiny harmless for any such medical costs or property damage. The facts, circumstances, situation, and advised response to COVID-19 is constantly changing, and Creative Destiny has no reliable way to keep fully abreast of this information. The fact that BUSINESS is permitting customers to enter the premises does not in any way, shape, form, or manner indicate that it is safe to do so. I understand that this release means I am giving up, among other things, all rights I may otherwise have to sue Creative Destiny, its owners, employees, and or agents for injuries (including death), damages, or losses I may incur or cause. I agree to hold Creative Destiny, its owners, employees, and or agents, harmless from all claims made by third parties that are in any way associated with my entry onto the premises of Creative Destiny. I shall be liable for all attorney fees, court costs, and all other costs incurred by Creative Destiny in enforcing or defending any such claim or any portion of this waiver/release. I also understand that this waiver/release is binding on all of my minor children and minors for whom I am legal guardian, as well as the heirs, executors, administrators, and assigns of my minor children and minors for whom I am legal guardian. I further understand that if I am executing this release on behalf of a minor child, then I shall hold Creative Destiny harmless against the claims of any other parent or legal guardian of said child who has not signed this release. I also understand that this release binds my heirs, executors, administrators, and assigns, as well as myself. I HAVE READ THIS ENTIRE RELEASE, I FULLY UNDERSTAND IT, AND AGREE TO BE LEGALLY BOUND BY IT.

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CREATIVE DESTINY

Increase confidence,

grow creativity

CREATIVE DESTINY

Increase confidence

grow creativity

Camp GameDesign Onsite Signup July5