Sign up for Summer Day 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

    SAFETY CONTRACT:

    The safety of youth participating in education programs at Humane Society of the Tennessee Valley Inc. (HSTV) is a priority for us. Please read and understand the following measures that may be taken at our discretion, if necessary, to ensure your child is safe and not left at our facility unattended.

    LIABILITY RELEASE:

    In consideration of Humane Society of the Tennessee Valley Inc. allowing the Participant to participate in children/youth Activities, Events, Camps and Celebrations, I acknowledge that I understand the scope of the program, including the potential of injury which can occur during activities with dogs, puppies, cats, and kittens. I further understand that with all due caution taken, accidents with animals can and do happen. I, the undersigned, do hereby release, forever discharge and agree to hold harmless Humane Society of the Tennessee Valley Inc., its directors, employees, contract personal agents, or volunteers (collectively herein “HSTV”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the Participant while involved in the children/youth activities. I, the parent or legal guardian of this Participant, hereby grant my permission for the Participant to participate fully in children/youth activities.

    Furthermore, I hereby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein. The undersigned further hereby agrees to hold harmless and indemnify said HSTV for any liability sustained by said HSTV as the result of the negligent, willful or intentional acts of said Participant, including expenses incurred attendant thereto. Because of the potential benefits of the program, I hereby waive any claim arising from the participation in the program.

    I acknowledge and understand that education students are 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 service activities.

    In the event that any of the terms, conditions, and/or covenants contained in this release form 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.

    MEDIA RELEASE

    I agree that HSTV may photograph and record my child/dependent’s likeness and activities (Images) during HSTV activities. I grant the following rights to HSTV: permission to use and re-use, publish and re-publish, and modify or alter the Image(s) taken during events. Use of the Images for editorial, commercial, trade, advertising, and any other purpose may be done in any medium now existing or subsequently developed, on the HSTV website and on the Internet, and worldwide in perpetuity for the purposes stated above.

    I waive my right to inspect or approve any editorial text or copy that is used in connection with the Images and release and discharge HSTV from any and all claims arising out of use of the Images for the purposes described above, including any claims for libel, invasion of privacy, or other tortuous act.

    I have read the foregoing. I fully understand its contents, understand that this agreement does not expire, and confirm my agreement by signing below. I am over the age of 21 and have legal capacity to sign the release.

Socialize