Please provide the following information and choose your camp on the next page. You will receive a confirmation that includes instructions on how to pay for your camp.
Required if the student is under 18 years old or if a parent is the emergency contact.
Portions of these programs may be photographed and/or videotaped for promotional purposes including but not limited to web site, brochure, photo CD’s newspaper ads/features or promotional/archival videos. Do we have your permission to use your/your child’s image/name in promotional materials?
I approve of my son/daughter participating in this program presented by Lake Michigan College, and where applicable, Children’s Music Workshop (herein referred to as LMC/CMW). As Student’s Parent or Guardian, I release LMC/CMW, and the facility where the workshop is being held, from any and all liability, damages, or claims whatsoever for any injury or harm that may occur to my Student while participating in any workshop provided by the Company. I agree that I will make no claim or demand against LMC/CMW, and the facility where the workshop is being held, if an injury or accident occurs during a workshop provided by LMC/CMW. I will look to my own resources, insurance, or assets to pay all medical bills, damages or losses whatsoever if an injury occurs. The term LMC/CMW includes all employees, volunteers, and other staff of LMC/CMW participating in the summer programs. I also give permission to release my child to my emergency contact listed above.
Typing your name below confirms that Parent/Guardian agrees to the release above OR that applicant is a participant 18 years of age or older and agrees to the terms stated above.