Checkout2a – California Creativity

Participant's Preferred Name, Last Name and Preferred Pronouns (Example: Sam Smith (she/her))

Participant's Age

Participant's Grade in Fall of 2021

Participant's T-shirt Size

Participant's Email that will be used for Camp

Participant's Postal Address for mailing Camp Materials

Parent/Guardian's First and Last Name and Preferred Pronouns (Example: Jean Jones (he/him))

Parent/Guardian's Email

Parent/Guardian's Phone Number

Campers must have all of the following available to participate in the California Creativity Summer Camp: Great Games 2021. Please confirm the Participant will have access to the following technology and materials during the week of Camp by checking the box below

My Child has the following available: * Ability to take Digital Photos & Upload them (Cell phone, Tablet, Digital Camera, etc.) * A Computer with Zoom, Video Camera, and Sound ability *. Internet access * Scissors

California Destination Imagination Tournament Participant Consent & Media Release Form

Liability Release / Disclaimer I understand that the participant listed on this form will be participating in the California Creativity Summer Camp.. By participation in an event, the participant or participants' parents or participant's guardian understands and hereby voluntarily agrees to release, waive, forever discharge, hold harmless, defend and indemnify California Creativity Inc., and their agents, officers, boards, volunteers, and employees from any and all liability and all claims, actions, or losses for bodily injury, property damage, wrongful death, loss of services, or otherwise which may arise out of the participant's participation in activities related to the Summer Camp event, including travel to and from the event. Media Release We (I) hereby grant permission for California Creativity Inc. and their licensees to publish images of activities and of this participant for the purpose of promoting California Creativity We (I) grant this permission freely without reservation. If the participant is under the age of 18: Furthermore, we (I) are (am) the parent(s) or legal guardians(s) of this participant and hereby grant permission for him/her/them to participate fully in the tournament and hereby give permission to take him/her to a doctor or hospital and authorize medical treatment including, but not limited to, emergency surgery, tests, medications or x-rays. We (I) will assume all responsibility for all medical bills, if any. We (I) understand that if medical treatment is required we (I) will be contacted as soon as possible. Should it be necessary for my child to be sent home for medical reasons, disciplinary reasons, or otherwise, we (I) will hereby assume all costs.

Additional Comments

CAMP REGISTRATION