Camper's Name *

First Name

Last Name

Parent's / Guardian's Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Media Release *

I, the parent/guardian, hereby authorize Investing in Children to use any photographs/videos of myself and/or my child(ren), or any written comments/testimonials, etc., for reproduction on Investing in Children’s website, social media platforms, published promotional materials such as (but not limited to) display boards, annual reports, flyers, emailers, etc. without any expectation of compensation.

I the parent/ guardian understand and agree to the Media Release.

Attendance Agreement *

For the safety of all involved, participation in this program requires collaboration, excellent listening skills and full co-operation of all students. Any student not co-operating, not following directions by the instructor, or not communicating properly, (ex. using profanity, causing a disturbance, or threatening any other person involved in this program), will need to be suspended or removed from the program. Parents will be notified in the event a youth is not cooperating and/or participating as expected. Investing in Children reserves the right to make this decision. We would love students to be able to attend all sessions as part of the premises of the program is building relationships with others who love to read and write however, we respect the decision if a student wants to opt-out.

I the parent/ guardian understand and agree to the Attendance Agreement

Zoom Requirements *

My student has Zoom capabilities and will test the audio and camera prior to joining the first session. Please note that in order for the program to be successful and be able to engage the campers, the camera must be on during the sessions.

Yes, and I agree.