Sign up for Summer Week Camps

  • Please note, if you wish to sign up more than one child/dependent you must fill out a form for each child/dependent.
  • For a full description of each program please refer back to the Summer Classes/Workshops Page
  • Child/Youth Information

  • Parent/Guardian Information

  • Please list all phone numbers where a parent/guardian can be reached

  • Emergency Contacts

  • LIABILITY WAIVER/PHOTO RELEASE

    In consideration of the Humane Society of the Tennessee Valley Inc. (HSTV), accepting my child as an activity participant at HSTV, I, the undersigned parent or guardian of (child), hereby agree to indemnify, defend and hold harmless the Humane Society of the Tennessee Valley Inc., its employees, volunteers, officers, agents, and directors from any and all damages, losses, or injuries my child may sustain during his/her activities at HSTV.

    I acknowledge that I have had the scope of the program fully explained to me, including the potential of injury which can occur during activities with dogs, puppies, cats, kittens, or other animals. I further understand that even with all due caution taken, accidents with animals can and do happen. This program release is executed without any reliance upon any representation by any person and the undersigned has carefully read and understands the contents of this release and executes the same as his or her own free act. I acknowledge and understand that my child is not covered by the HSTV's Workers Compensation or any other insurance policy for any damages or injuries my child may sustain during his/her activities at HSTV. In the event that any of the terms, conditions, and/or covenants contained in this release are held to be invalid, such invalidity shall not affect any of the other terms, conditions and/or covenants contained herein which shall remain in full force and effect.

    I further understand that I must pick my child up no later than 15 minutes after the close of the child’s activity, unless otherwise discussed with HSTV staff prior to the activity. I understand that HSTV will charge a fee of $1.00 per minute, per child, past the time of pick up.

    I, the undersigned parent or guardian of (child) hereby agree that any and all photographs and/or video images taken of my child and his/her pet (or shelter animal) may be used in perpetuity by the Humane Society of the Tennessee Valley Inc. for the purposes of publicity, education, fundraising, or otherwise promoting the mission and activities of the Society. I understand that neither I nor my child will receive name recognition or monetary compensation for the use of said photograph(s) and/or video footage, to be used either in print or other media of HSTV’s choosing and that this agreement will remain binding and have legal effect regardless of whether my or my child’s association with the Humane Society of the Tennessee Valley Inc. continues.

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