I understand that I am responsible for the transportation of my child to and from the appropriate Trident Technical College campus each day of the camp. I understand that I must sign my child in and out of camp every day. I understand that I must pick up my child on time or I will be charged an additional $15 fee for each 15 minutes that I am late. If my child is driving him or herself, the child will be required to sign in and out. If the child does not sign in, TTC will make every effort to notify the parent listed as the emergency contact.

I further agree to release and forever discharge Trident Technical College and its faculty, staff, and/or volunteers from any responsibility for loss of personal property or any liability for personal injury due to my negligence, the negligence of the above named child or the negligence of Trident Technical College and its faculty, staff and/or volunteers while he/she is participating in this summer camp. I understand that he/she may be subjected to potentially hazardous situations and surroundings during this camp. I waive any and all legal claims, rights or causes of action that I, any other parent, guardian, or sibling may have against Trident Technical College should an accident occur, due to my negligence, the negligence of the above named child, or the negligence of Trident Technical College and its faculty, staff, and/or volunteers.

Parent/Guardian Name:

Phone 1: Cell Home Work Other Phone 2: Cell Home Work Other Phone 3: Cell Home Work Other

Parent/Guardian E-mail:

Address:

Is this a new address? No Yes

I give my permission for these individuals to drop off or pick up my child:

Name: Phone: Relationship:

Name: Phone: Relationship:

Name: Phone: Relationship:

I understand and agree to follow all of the rules outlined above. I am under eighteen years of age and my parent or guardian has also agreed to the above terms on my behalf.

Enter Camp Participant Name to Verify Agreement:

Please contact Michele Shinn 574.6655 if you have questions or need to contact your child during the camp. Other numbers to contact: 574.6152 or 574.6663