Huntsville Botanical Garden STEM Camper Release Form

Please read through each release below in its its entirety and provide your consent as requested for your child. A space is provided in each section for your initials, and a final signature is required at the bottom. We must have this form on file in order for your child to attend camp at Huntsville Botanical Garden.

Authorization for Medical Release

I hereby give permission to the Huntsville Botanical Garden staff to secure emergency medical, dental and/or surgical treatment for my child while in their care. All expenses of such care will be accepted by the parent(s)/legal guardian, including fees for an ambulance, if deemed necessary by staff. I realize attempts to reach me prior to any decisions will be made unless a life-threatening situation is at hand or circumstances do not allow.

Media Release

During the course of the camp, Huntsville Botanical Garden may wish to use photographs of camp participants on bulletin boards, in educational publications or in general media releases on a controlled basis. Any such photographs would highlight the participant(s) either demonstrating learning techniques or participating in approved camp/garden activities. In accordance with Huntsville Botanical Garden policy, names of individual camp participants will not be released with any photographs.

Liability Release

In consideration for the cultural and educational benefits which my child, *enter name below*, will receive by attending Camp, I hereby release the Huntsville Botanical Garden, all their directors, employees, volunteers, and any person associated with the Huntsville Botanical Garden, from any liability for any bodily injury and property damage suffered by my child as a result of activities during the educational program.

Camper Behavioral Expectations and Agreement

Staff to Student Ratio Notice- HBG guarantees a Staff to Student Ratio of 1/10 (1 instructor to 10 students) throughout the camp day.

At the Huntsville Botanical Garden (HBG), we take the happiness and safety of our campers seriously. Therefore, we work very hard to create a safe and fun environment. Along with our efforts, we need the children to help us by following some simple rules. Please read the Camper Behavior Expectations with your child and ensure they understand our camp’s behavior policies.

• I will listen to the Instructor(s) and follow directions.
• I will respect other camper’s belongings by not touching their things without permission.
• I will respect all property and help clean personal messes leaving areas clean.
• I will respect other camper’s personal space by keeping my hands and feet to myself.
• I will act in a caring way, and I will not hit, fight, bite, tease, harass or bully others.
• I will use appropriate language, which does not include swear words or insults.

Not abiding by these rules may result in suspension or removal from the program. All incidents will be handled on a three incident system, except hitting, fighting, and inappropriately touching another camper. Hitting, fighting, and inappropriately touching another camper will be an immediate one-day suspension from the program. All other incidents will be handled as follows:

• First incident = Verbal warning
• Second incident = Written note to Guardian; reflection time* during free time (5 minutes)
• Third incident = Contact Guardian; reflection time* during free time (10 minutes)

More than three incidents may subject the camper to dismissal from the program.

*Reflection time includes sitting out with an Instructor(s) to talk about their behavior and how we can help the camper work through the problem resulting in better choices moving forward.

Huntsville Botanical Garden management reserves the right to dismiss a child from the camp if the child’s behavior is disruptive to the program and/or compromises the happiness and safety of themselves, other children, and/or staff. Children suspended or terminated from the program will not qualify for a refund.

Release Signature

By signing, I agree to partner with Huntsville Botanical Garden in making my child’s camp experience positive for all children and families involved.