Mini University Registration Guide 2014 Guide | Page 20

MINI UNIVERSITY 2014

REGISTRATION FORM (PAGE 2 OF 3)

STEP 2) INFORMED CONSENT FORM: Registrationcannotbeacceptedwithoutaparent/guardianagreeingtoALLtermsbelow.
PHOTOGRAPHY/MULTIMEDIA CONSENT:
I hereby authorize Brandon University’s Mini University and Actua, the National organization to which Mini University is a member, to photograph,
audio record, video record, podcast and/or webcast the above-named child/youth (digitally or otherwise) without charge; and to allow Mini
University and Actua to copy, modify, and distribute in print and online, those images that include your child in whatever appropriate way either Mini
University and/or Actua sees fit without having to seek further approval. No names will be used in association with any images or recordings.

________ Initial that you read and agree to the above photography/multimedia consent.
ELECTRONIC STORAGE OF INFORMATION:
I consent to all registration information I provide (as well as a digital photo of my child to be taken at time of check-in) being stored in the United States of America
by CampMinder, LLC. I understand that this information is being stored for the purpose of registering my child in Mini University, to keep an enrollment record
of campers, and to administer the camp, and that a written agreement is in place with CampMinder, LLC to ensure that this information is stored securely and
to ensure it will not be shared with any other party or person without consent from Brandon University and Mini University unless required by law.

________

Initial that you read and agree to the above electronic storage of information.

MINI UNIVERSITY PROGRAM – CHILD INFORMED CONSENT:
WARNING: By signing this document you indicate that you understand the risks associated with this activity, that you are aware that by allowing your child to participate
in the activity you are exposing him/her to the risks identified below. It gives Mini University authority to secure medical assistance for your child for which you
agree to be financially responsible. You are agreeing to assume financial responsibility for any damage to third persons or their property caused by your child.

P L E A S E R E A D C A R E F U L LY !
1. I am aware that by allowing my child to participate in the Mini University Program which may include any or all of the Mini University programs,
I will be exposing him/her to the following inherent risks, including but not limited to:
GYMNASIUM ACTIVITY RISKS:
GENERAL RISKS:
• all manner of injury arising from falling and impacting against the floor surface,
• theft, vandalism or loss of personal property;
•anymannerofinjuryresultingfromuse,misuse,non-useandfa