September 29, 2020 - 8:30 am - 5:30 pm
Camp Rules, Expectations and Consent Form
To be Completed by Parent/Guardian

Question Title

* Student Full Name:

Question Title

* Student Email:

Question Title

* Parent Email:

Question Title

* Parent/Guardian Name (Primary Emergency Contact):    

Question Title

* Parent/Guardian Phone:

Question Title

* Secondary Emergency Contact Name:

Question Title

* Secondary Emergency Contact Phone:

Question Title

* Please give any information about your child’s physical or medical conditions that you feel would be important in the case of an emergency or would limit their participation in activities:

Camp Rules & Expectations:
  • At no time should students walk or explore campus outside of designated times with the entire group.
  • Drugs, alcohol, any form of tobacco, firearms, knives, or any kind of weapon or fireworks are NOT allowed on the camp property.
  • Students should dress appropriately for the activities scheduled. Clothing that displays drugs, alcohol, tobacco, offensive language, excessive bagginess, or is excessively revealing will not be permitted.
  • No fighting is allowed.
  • Everyone must attend all scheduled events for the camp.
  • Students are expected to abide by any additional rules established by the camp host.
  • Student will be a junior or senior in high school in fall 2020 or recently graduated.
Parent/Guardian Consent Form 

Medical Release: In case of medical emergency, if I cannot be contacted, I hereby give permission to a camp representative and the physician he/she selects to secure proper treatment, including: hospitalization, ordering injections, giving anesthesia, x-rays, routine tests, treatment, transporting of student, or performing operations as may be urgently necessary for the child and to release reports necessary for insurance purposes for my son/daughter. This form may be copied for emergency purposes. I understand that every effort will be made to contact me or the secondary emergency contact listed on this form. I further understand that if I do not have medical insurance that covers all costs, I will be responsible for such medical costs.

Liability Release: In consideration of being permitted to participate in the camp activities, I, for myself, my child, my heirs, personal representatives or assigns, do hereby release, waive, discharge and covenant not to sue Kansas Society of CPAs or Kansas State University, its officers, employees, agents, volunteers, sponsors or promoters from liability from any and all claims including the negligence of the Kansas Society of CPAs or Kansas State University, its officers, employees, agents, volunteers, sponsors or promoters, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to activities and attendance at the INSPIRE Business Camp. The participation in activities at the camp carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. I warrant that my child is physically fit and able to participate in all camp activities, except as noted above. I also agree to indemnify and hold harmless the Kansas Society of CPAs and Kansas State University, its officers, employees, agents, volunteers, sponsors or promoters, from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, as a result of my child’s attendance and involvement in any activities at the INSPIRE Business Camp, including any claim asserted by my child after he/she becomes an adult. I also acknowledge that I have read the above and understand that I am giving up substantial rights including the right to sue. I acknowledge that I am signing freely and voluntarily and intend by my signature to a complete and unconditional release of all liability to the greatest extent allowed by law.

Publicity Release: I understand that my child may be photographed or videotaped and grant the Kansas Society of CPAs permission to use my child’s likeness in a photograph, video or other digital media without payment or other consideration. This includes any and all its publications, including, but not limited to, social media, web-based publications, brochure mailings, highlight promotional videos, photos for our website or email marketing. 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 Kansas Society of CPAs 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.

Question Title

* I. as parent/guardian, have read the camp rules, expectations and consent form releases. I fully understand its contents, understand that this agreement does not expire and confirm my agreement by signing below. I have the legal capacity to sign the release.

Please type your first and last name here along with the date as your Electronic Signature. Example: Jane Doe 3/1/2020

T