2025 Spring Break WonderCamp Waiver

This waiver is mandatory for all children to attend Camp. A signed copy of this waiver must be on file before the start of your camp session. If WonderLab does not have a signed copy of this waiver on file, your child will not be admitted to camp.

Camper Name(Required)

First Last

Camp Session(Required)

Rhythms of Nature (March 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)

Release of Liability Waiver(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 Releases) 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.

I would like my child to ride the Rural Transit Bus from WonderLab to Loesch Farm(Required)

Yes

Transportation Waiver(Required)

I agree to the following statement.

WonderCamp (a 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, some of which occur outside the City of Bloomington. In an effort to reduce participation barriers posed by transportation, we have arranged with Rural Transit to provide transportation between WonderLab (308 W Fourth Street, Bloomington IN) and Loesch Farm (2687 N Loesch Rd, Bloomington, IN) for camps held at Loesch Farm.

I, the undersigned, give my permission for my child identified below to be transported to and from the Camp Locations as described above. I agree to assume all liability for any injury that may result during such transportation.

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 (Camper) in the course of travel.

I hereby accept financial responsibility for personal items lost by the named person (Camper).

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 (named person, Camper) to be transported via Rural Transit between University Elementary School and Camp Locations; and for other transportation options for field trips if needed.

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.

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.

Signature(Required)

Date(Required)

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