Summer Camp

Summer Camp Registration

    Student Information

    First Name *

    Last Name *

    Birthdate*

    Grade *

    Gender*

    Address *

    Street Address Line 2

    City *

    State / Province

    Postal / Zip Code

    Parent / Guardian Information

    First Name *

    Last Name *

    Home Number *

    Cell Number

    Email *

    Emergency Information

    First Name *

    Last Name *

    Relationship *

    Phone Number *

    Alt. Phone Number

    Does the student have any allergies, chronic illness, or medical conditions?
    If yes, please describe.

    Is the student prescribed an inhaler or medication? If yes, please explain any

    Informed Consent and Acknowledgement

    I hereby give my approval for my child’s participation in any and all activities organized by Global American Academy Agadir and its affiliates, including Global Exchange USA, during the selected camp. In exchange for the acceptance of said child’s candidacy, I assume all risks and hazards incidental to the conduct of these activities and release, indemnify, and hold harmless Global American Academy Agadir, Global Exchange USA, their officers, agents, employees, volunteers, and representatives from any and all liability, claims, demands, or causes of action arising out of traveling to, participating in, or returning from selected camp sessions.

    I understand that there are inherent risks in participating in physical activities during summer camp, including but not limited to sports such as basketball, soccer, handball, and other recreational activities. These risks include, but are not limited to, minor injuries, fractures, and other physical harm.

    Medical Release and Authorization

    As Parent and/or Guardian of the named child, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional in the event of a medical emergency. If, in the opinion of the attending medical professional, immediate medical attention is necessary to prevent further endangerment to the minor’s life, physical disfigurement, physical impairment, or undue pain and suffering, permission is granted to the attending physician to proceed with any necessary medical or minor surgical treatment, x-ray examination, or immunizations.

    In the event of a serious illness, the need for major surgery, or significant accidental injury, every reasonable effort will be made by the attending physician or camp personnel to contact me as quickly as possible. This authorization is granted only after a reasonable effort has been made to reach me.

    Permission is also granted to Global American Academy Agadir, Global Exchange USA, and their affiliates, including Directors, Coaches, and Team Members, to provide emergency treatment prior to the child’s admission to a medical facility. This release is valid for the duration of the camp and is executed willingly to protect the life and wellbeing of the named minor child in my absence.

    Photo/Video Release and Permission

    I understand that during the summer camp, photos and videos of my child may be taken while participating in camp activities. By signing this form, I hereby grant Global American Academy Agadir and its affiliates, including Global Exchange USA, the irrevocable right and permission to use, publish, distribute, or display these photos or videos for purposes including, but not limited to, marketing, promotional materials, social media, website content, or other media publications.

    I acknowledge that neither I nor my child will receive any compensation for the use of these images or videos. I release and hold harmless Global American Academy Agadir and its affiliates from any claims related to the use of these images or videos.

    Confirmation

    By acknowledging and signing below, I confirm that I have read and understand the above terms. If signed electronically, I am delivering an electronic signature that is legally binding and holds the same effect as an original manual paper signature.

    Parent/Guardian Name *

    Child’s Name *

    Signature*

    Date*