Camp and Workshop User Agreement:

As the parent, legal guardian, or agency representative of the child named above, I hereby give consent to enroll my child in the specified program operated by Eugene Science Center. I recognize that my child must follow safety instructions, remain in areas designated by staff, and refrain from behavior that is harmful to him/herself or others. Failure to adhere to Eugene Science Center policies will result in dismissal from the program, without refund of fees. I understand that my child will not be released from the program site unless signed out by a parent/guardian, or designee.

Eugene Science Center will do its best to ensure a safe experience; however, I understand that certain mishaps or accidents may occur. In the event of an injury or medical emergency, I hereby give consent to the Eugene Science Center to provide or arrange for all necessary and appropriate medical and/or dental treatment as prescribed by qualified medical personnel. I hereby release the Eugene Science Center from any and all responsibility and liability of any nature resulting from my child’s participation in any program activity, including claims for injury, illness, death, loss or damage.

Your signature permits the Eugene Science Center to use photographs and/or video of all programs for promotional purposes. Child’s first and last name may appear in newspaper or other printed publications. Denial of this agreement must be submitted in writing, prior to the program attended.

I have read the entire registration or information packet and understand it completely, including the above Parent Authorization and Agreement. I have informed the Education Director of my child’s special needs and considerations. All of the information given is accurate and true to the best of my knowledge. I agree to the cancellation policy.

No School Day Workshops: 2023-2024 School Year

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