Individual, Parent, Guardian or Conservator, please read carefully before consenting below.

I agree and authorize my child to participate in a day camp for up to 4 hours at 712 Ellis Street, Augusta, GA, July 6–17, 2026, where my child may participate in all camp activities which may include music, movement, dance, drama, etc.

I understand that my child’s/charge’s participation in the above-described activities (the “Activities”) will be voluntary and that these Activities may involve certain risks and dangers. Certain aspects of the Activities may be dangerous. In addition, the hazards and risks of the Activities may include, but are not limited to, the following:

Activities: latent or apparent defects or problems in equipment provided by Camp Wonderland and other sponsors or outside service providers

Acts of other participants in the Activities (including from the failure of other participants to follow instructions or obey safety regulations)

Accidental injuries

Weather conditions (including unforeseen, inclement or intemperate weather)

Consumption of food or drink

Fire

First aid; emergency treatment or other services rendered

It is further understood that any of the foregoing events, in addition to others, may result in hospitalization, permanent injury and even death.

In consideration of being allowed to participate in these Activities, I, as an authorized individual or custodial parent, legally appointed guardian and/or conservator of the child referenced elsewhere in this form and/or myself as is more fully specified above, hereby voluntarily on behalf of myself and my child and our respective heirs, executors, guardians, legal representatives, administrators and assigns (collectively, “Releasors”), acknowledge and agree to the following:

Certify that my child/charge is fully capable of participating in the Activities as authorized by me on the Consent and Agreement Form. I know of no reason, health-related or otherwise, why my child/charge is not capable of participating in the Activities. I accept full responsibility for any injuries or illnesses that my child/charge may suffer during the Activities, including, but not limited to, those resulting from any pre-existing medical condition. In the event my child/charge is under the care of a healthcare practitioner, I have consulted with the practitioner and obtained his or her consent to my child’s/charge’s participation in the Activities and hereby confirm to Camp Wonderland that my child’s/charge’s practitioner approved his or her participation in the Activities.

Agree that under no circumstances will the Releasors prosecute, prevent or otherwise pursue any claim against or sue for personal injury, property damage, theft of property or wrongful death against any of the Released Parties arising from or related to my child’s/charge’s travel to and/or participation in the Activities and according to the binding release set forth in Paragraph 3.

Release, discharge, covenant not to sue, and waive any and all causes of action against Camp Wonderland, and their respective affiliates, directors, officers, staff, insurers, volunteers, agents and assigns (such organizations and their respective representatives are hereinafter collectively referred to as the “Released Parties”) from any and all liability or expense (including, but not limited to attorney’s fees) to the Releasors for any and all harm, loss, illness, personal injury, property damage, or death, and any and all claims, actions, causes of action or demands therefore, that may arise during, or develop in the future as a result of my child’s/charge’s participation in or attendance at the Activities, whether caused by the negligence of the Released Parties or otherwise. I agree that this release and waiver shall apply to any incident, injury, accident or death associated with the Activities.

Understand my child’s/charge’s participation in the Activities is entirely voluntarily. I have been given the opportunity to talk to Camp Wonderland about the Activities. With knowledge of the risks and dangers, which may include property damage, serious injury or death, I hereby agree to accept any and all risks and dangers. Any injuries or other harm that my child/charge incurs during or as a result of the Activities are my responsibility to be claimed through my health plan or paid by me in the absence of a plan or plan coverage.

Agree that if any claim for my child’s/charge’s personal injury, property damage or wrongful death shall be prosecuted against any of the Released Parties resulting from or related to the Activities, I shall indemnify and hold harmless the Released Parties, and each of them, from any claims, actions, causes of action, loss, liability or expense (including but not limited to attorney’s fees) by whomever and wherever made or presented in connection with my child’s/charge’s personal injuries, property damage, or wrongful death.

Acknowledge that I have been informed that this program is not a licensed childcare facility. I also understand that this program is not required to be licensed by the Georgia Department of Early Care and Learning and this program is exempt from state licensure requirements.

Authorize TheAP and its designee(s) to photograph and/or video record me or my child. I further grant TheAP and its designee(s) the right to broadcast, exhibit, market, sell, and otherwise distribute the photos/video recordings, either in whole or in parts, and either alone or with other products, for commercial or non-commercial purposes that TheAP or its designees in their sole discretion may determine. This grant includes the right to use the photos/video recordings for promoting or publicizing any of those uses. I understand no compensation of any kind will be made.