Summer Camp Registration Form

If it is not possible to carry out the above special instructions, I understand that the Atlanta History Center will use its judgment to seek the best emergency care possible. If emergency care is required, and a parent or guardian cannot be reached, I authorize the Atlanta History Center to call for such medical care or to transport the child to the appropriate clinic or hospital. This authorizes the emergency medical care provider to carry out the care deemed necessary for the child where normal permission is unavailable. I agree to pay all costs associated with such medical care and related transportation for the child.

I, the parent or guardian of the above-named child, on behalf of myself, my heirs, executors, administrators, legal representatives, and assigns, grant to the Atlanta Historical Society, Inc. (“AHS”), its officers, members, employees, contractors, legal representatives, agents, successors, licensees, and assigns (“Releasees”), permission to photograph or otherwise record, and use, reuse, publish, and republish audio, photographs, video, and other visual images of my child (“representations”) in connection with AHS activities. I understand that Releasees may publish the representations without notification and I waive any right to inspect or approve the representations or any copy. I grant Releasees permission to crop or otherwise alter such representations, and to create derivative works from the representations. I understand that the representations may be used by the AHS in print or electronic form, in media such as newsletters, magazine, brochures, websites, press releases, art, editorials, and displays. I waive any right to royalties or other compensation related to use of the representations, and grant permission to Releasees to offer the representations for use in other publications, such as newspapers covering AHS activities. I hereby discharge and release forever any claims related to use of the representations, including any claims for libel, violation of any right of publicity or privacy, and misappropriation, and agree not to sue Releasees for such use. I understand that AHS shall not print or publish the child’s name or contact information in any AHS publication without my express written consent. I also understand and agree that the AHS may cause to be used, reused, published, and republished any artwork or other product created by the child in connection with AHS activities. As a parent or guardian of Participant, a minor, named above, I acknowledge that I am authorized to sign this agreement. I acknowledge and agree that I have read this document, I am signing it freely, and that by signing this release, Participant and I voluntarily agree to be bound by its terms. I understand that I am responsible for the obligations and acts of Participant as described in this document. By checking "I agree" below, I acknowledge this constitutes my electronic signature.

I, the parent or guardian of the above-named child, on behalf of myself, my heirs, executors, administrators, legal representatives, and assigns, grant to the Atlanta Historical Society, Inc. (“AHS”), its officers, members, employees, contractors, legal representatives, agents, successors, licensees, and assigns (“Releasees”), permission to photograph or otherwise record, and use, reuse, publish, and republish audio, photographs, video, and other visual images of my child (“representations”) in connection with AHS activities. I understand that Releasees may publish the representations without notification and I waive any right to inspect or approve the representations or any copy. I grant Releasees permission to crop or otherwise alter such representations, and to create derivative works from the representations. I understand that the representations may be used by the AHS in print or electronic form, in media such as newsletters, magazine, brochures, websites, press releases, art, editorials, and displays. I waive any right to royalties or other compensation related to use of the representations, and grant permission to Releasees to offer the representations for use in other publications, such as newspapers covering AHS activities. I hereby discharge and release forever any claims related to use of the representations, including any claims for libel, violation of any right of publicity or privacy, and misappropriation, and agree not to sue Releasees for such use. I understand that AHS shall not print or publish the child’s name or contact information in any AHS publication without my express written consent. I also understand and agree that the AHS may cause to be used, reused, published, and republished any artwork or other product created by the child in connection with AHS activities. As a parent or guardian of Participant, a minor, named above, I acknowledge that I am authorized to sign this agreement. I acknowledge and agree that I have read this document, I am signing it freely, and that by signing this release, Participant and I voluntarily agree to be bound by its terms. I understand that I am responsible for the obligations and acts of Participant as described in this document. By checking "I agree" below, I acknowledge this constitutes my electronic signature.

As a parent or guardian of Participant, a minor, named above, I acknowledge that all Atlanta History Center 2021 Summer camps will be taking place on the Midtown campus located at 979 Crescent Ave NE, Atlanta, GA 30309.

o We require that adults and children, children over the age of 2, wear face masks or face coverings while inside buildings. Medical exceptions are allowed with a note from a doctor. There are no other exceptions.
o Stay home if you do not feel well or are exhibiting symptoms of COVID-19.
o Practice social distancing by maintaining at least 6 feet of distance between you and others.
o Wash your hands frequently and practice good hygiene when coughing or sneezing.
o Follow all staff instructions.
o Under Georgia law, there is no liability for an injury or death of an individual entering these premises if such injury or death results from the inherent risks of contracting COVID-19. You are assuming this risk by entering these premises.

As a parent or guardian of Participant, a minor, named above, I acknowledge that I am authorized to sign this agreement. I acknowledge and agree that I have read and completed this entire online submission, I am signing it freely, and that by agreeing to this submission, Participant and I voluntarily agree to be bound by its terms and the terms of use (www.atlantahistorycenter.com/terms). I understand that I am responsible for the obligations and acts of Participant as described in this submission By checking "I agree" below and entering my initials (or signing), I acknowledge this constitutes my electronic signature for this online submission. By checking "I agree" below, I acknowledge this constitutes my electronic signature for this online submission.