DESIGN CONNECT CREATE STEM SUMMER CAMP PARTICIPATION AGREEMENT AND RELEASE OF LIABILITY

I, the parent or legal guardian of ::participant_name::, give my permission for my child to participate in the After School STEM Program (“Activity”) offered by Design Connect Create (“DCC”) and I acknowledge and agree as follows:

I acknowledge and accept that the nature of the Activity could possibly expose my child to known and unknown risks, including, but not necessarily limited to, the danger of damage, injury or loss, such as property (personal or real) damage, illness, mental anguish, emotional distress, personal/bodily injury or death and I understand and appreciate the nature of such risks. My child is in sufficient physical and mental health to participate in the Activity and does not have any physical or mental conditions that could affect their ability to participate in the Activity.

I grant DCC and their representative’s full authority to take whatever actions they may consider to be warranted under any circumstances regarding the protection of Participant’s health and safety. I understand that if my child requires medical treatment while participating in the activity, an attempt will be made to call me once. In the event that I cannot be reached, I consent to such treatment for my child as may be deemed necessary under the circumstances.

I understand that my child is expected to act and speak positively and be courteous to all students and staff. For on-site camps, I understand that my child is expected to:

remain on campus for the duration of the camp day (no leaving for lunch or breaks)
ride the provided bus to field trips

I will notify the teacher or camp director of any absences or appointments prior to the first day of camp. If my child’s participation in the Activity is at any time deemed detrimental to the Activity or its other participants, as determined by the Activity’s organizers in their sole discretion, I understand that they may be expelled from the Activity without DCC or the organizers incurring any liability.

I grant DCC, their funders and program partners permission to collect information via pre/post camp assessments and surveys to measure the impact of the Activity. DCC will not share any personal data or the identity of participant’s comments. All survey data will be reported only in aggregate format.

I grant DCC, their funders and program partners the irrevocable right to use my child’s image, voice and name in photographs and video and audio recordings of the Activity. I understand that this use includes publication and distribution in printed, electronic and digital media,including, but not limited to materials and brochures, video and television broadcasts, websites, social media and online communications. I also understand that my child shall not receive any compensation in connection with this release.

I knowingly and voluntarily hereby accept and assume all risk to my child that may arise from, relate to or result from participation in the Activity without limitation, all adjunct activities. I knowingly waive,acquit, release and forever discharge and covenant not to sue and shall indemnify, defend and hold harmless DCC, their respective directors, officers, employees, independent contractors, agents and representatives (collectively, the “Released Parties”) from any and all losses, liabilities, claims, damages, penalties, fines, judgments, awards,settlements, costs, fees and expenses (collectively, the “Losses”) that directly or indirectly, arise from, relate to or result from my child’s participation in the Activity including,without limitation, (a) any and all illness, mental anguish, emotional distress or injury to Participant’s person, including his or her death, (b) damage to Participant’s real or personal property and (c) any Losses caused in whole or in part by negligence or strict liability of the Released Parties.

I knowingly and voluntarily acknowledge that if my child’s camp is selected to attend a field trip, my child has permission to attend. I understand that all necessary safety and supervision measures will be in place to support a positive experience and I will receive specific field trip information.

This Agreement constitutes the entire agreement and shall be governed by the laws of the State of Texas. If any provision of this Agreement is held unenforceable, this will not affect any other provision and this Agreement shall be construed as if the unenforceable provision had not been incorporated in this Agreement.

I (i) have read and fully understand this Agreement and (ii) intend that this Agreement be legally binding and enforceable upon me and my family,estate, heirs and legal representatives.

As the parent/guardian, I give permission for my child to participate in a DCC-sponsored field trip. I understand that, while student safety is a high priority for DCC, under state law, DCC is not responsible for medical costs associated with student injury. Additionally, in consideration for my child’s participation in the described field trip, I expressly hold harmless from and waive against DCC, its Trustees, employees, agents, and assigns any and all claims for medical expenses, loss of services, injury to person or property, death, or other claims, actions, or liabilities made against it or them on behalf of my child, regardless of the cause of such claims, actions, or liabilities or any concurrent or contributing fault or negligence of it or them as such may result from my child’s

participation in the trip.

In further consideration for my child’s participation in the described field trips or activities, I also agree to hold harmless DCC, its Trustees, employees, agents, and assigns from and against any and all suits, actions, losses, damages, or that which may result from my child’s participation in the trip. I understand this release and I sign it voluntarily and with full knowledge of its significance.

By signing below, I consent to the release of health-related information to non-DCC personnel serving as sponsors/chaperones for the purpose of providing information necessary for the care and supervision of my child on this trip. In the event of an emergency while my child is on the DCC-sponsored trip or while participating in the field trip activities, I hereby grant permission to DCC employees to take whatever action is deemed necessary to assist my child. In the event I cannot be reached, I authorize DCC employees to give consent for my child to receive medical treatment.

Note: You will be asked for a digital signature at the end of this registration. You will then receive a verification email.

Legal Guardian of Participant:

I have read and agree to the DCC summer camp participant agreement, field trip permission and release of liability.

Grand Prairie ISD STEM Summer Camp