2024 WonderCamp Waiver

2024 WonderCamp Registration - Part 2

This completes your WonderCamp registration and guarantees your spot in your session.

Camper Name(Required)

First Last

Camp Session(Required)

Kids & Kids (May 22-26)

A World of Bugs (June 5-9)

Kids & Kids (July 17-21)

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Parent/Guardian Phone(Required)

Camper Emergency & Personal Information

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Does your child have any medical issues or allergies?(Required)

Yes

Please share pertinent medical issues/allergies.(Required)

Will your child be bringing any prescription medication to camp?(Required)

Yes

Please list these medications.(Required)

Physician Name(Required)

First Last

Physician Phone(Required)

The last few years have been strange and hard, with many impacts on young children and their social and emotional learning. WonderCamp takes a proactive approach to supporting all campers. We invite you to respond to any of the following questions about your camper.

Does your child get overwhelmed with crowds?(Required)

Yes

If yes, how do you prepare your child for the crowd?(Required)

Does your child find messy paints, slimy muds, or similar sensory experiences challenging?(Required)

Yes

Does your child have meltdowns?(Required)

Yes

If yes, what are their triggers and what is calming?(Required)

Does your child have sensory needs?(Required)

Yes

If so, how can we support?(Required)

Does your child have social skills needs?(Required)

Yes

If so, how can we support?(Required)

Does your child have communications needs?(Required)

Yes

If so, how can we support?(Required)

Is there anything else you would like us to know?

WonderCamp Transportation Waiver(Required)

I agree to the following statement:

WonderCamp (a summer science enrichment program of the WonderLab Museum of Science, Health and Technology for children entering Kindergarten through grade 8) has Camps at a variety of locations that occur outside the City of Bloomington. In an effort to reduce attendance barriers posed by transportation, we have arranged with Rural Transit to provide transportation between University Elementary School (1111 N Russell Rd, Bloomington IN) and Camp Locations of Kent Farm Banding Station (8475 E. Kent Road, Bloomington, IN), IU School of Education (201 N Rose Ave., Bloomington, IN), T.C. Steele State Historic Site (4220 TC Steele Rd, Nashville, IN) and Goat Conspiracy Farm (6022 Kent Rd, Bloomington, IN). In some cases, students under the supervision of camp staff may also walk or utilize IU campus buses.

I, the undersigned, give my permission for my child(ren) identified below to be transported by Rural Transit to and from the Camp Locations. I agree to assume all liability for any injury that may result during the transport between University Elementary School and Camp Locations.

Further, by signing below:

I will release and not hold WonderLab, its officers, agents, employees, assigns or anyone acting on its behalf, responsible or liable for injury occurring to the named person in the course of travel.

I hereby accept financial responsibility for personal items lost by the person identified herein.

I authorize WonderLab to transport and to obtain, through a physician of its own choice, any emergency medical care that may become reasonably necessary for the person in the course of such activities/events or such travel, and agree to accept the cost of the transportation and/or treatment by medical personnel or facility.

I accept full responsibility and hereby grant permission for my minor child to be transported via Rural Transit between University Elementary School and Camp Locations.

Children must remain seated, wear a seatbelt, wear a mask if instructed to do so by WonderCamp staff, and follow staff directions at all times. Because of safety requirements, any violation of this transportation policy may result in restriction of your child riding in the vehicle. Due to the seriousness of our safety concerns, we will notify parents immediately of any discipline problems that occur in our vehicles.

THIS IS A RELEASE OF LIABILITY AND WAIVER. I HAVE READ THIS ASSUMPTION OF RISK, RELEASE OF LIABILITY, HOLD HARMLESS AND INDEMNIFICATION AGREEMENT AND CONSENT. I UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS BY SIGNING IT. I AM SIGNING THIS ASSUMPTION OF RISK, RELEASE OF LIABILITY, HOLD HARMLESS AND INDEMNIFICATION AGREEMENT VOLUNTARILY.

WonderCamp Release of Liability(Required)

I agree to the following statement:

In consideration for being permitted to utilize the facilities and programs of WonderCamp (a summer science enrichment program of the WonderLab Museum of Science, Health and Technology for children entering Kindergarten through grade 8), the undersigned, on behalf of themself and their heirs, minor child or children, ward, personal representatives and next-of-kin, does hereby agree to the following:

The undersigned hereby releases, waives, discharges and covenants not to sue WonderLab, its successors and assigns, and its directors, officers, employees, and agents (collectively, the Releasees) from any and all claims, demands, damages, actions, causes of actions, or suits of whatever kind or nature arising or resulting from any loss or damage to property or injury or death to person, whether caused by the negligence of Releasees or otherwise, while he or she is in, upon, or about the premises of WonderCamp or using any of its facilities, services or equipment, or participating in any program or activity offered by or affiliated with WonderCamp.

The undersigned hereby agrees to indemnify and hold harmless the Releasees and each of them from any loss, liability, damage, or cost they may incur, including but not limited to attorney fees, whether caused by the negligence of the Releasees or otherwise, due to his or her presence in, upon, or about the premises of WonderCamp or use of its facilities, services or equipment, or participation in any program or activity offered by or affiliated with WonderCamp.

The undersigned hereby expressly assumes full responsibility for and risk of bodily injury or illness, death or property damage, whether caused by the negligence of Releasees or otherwise, while he or she is in, upon, or about the premises of WonderCamp or using any of its facilities, services or equipment, or participating in any program or activity offered by or affiliated with WonderCamp. In the event of injury or illness, and if the emergency contact is not able to be reached in the amount of time needed to provide appropriate care, the undersigned hereby authorizes the Releasees to provide or cause to provide such medical care and treatment to him or her as may be necessary and appropriate. The undersigned understands that he or she is solely responsible for all costs incurred for such medical care or treatment.

Signature(Required)

Date(Required)

Phone

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