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Camp H2O at Georgia Aquarium

Required Forms

● Please have the following forms completed, signed and returned prior to the first day of camp:

  • Parent/Guardian Permission form
  • Camper Behavior Contract
  • Authorization to Dispense External Preparations
  • Photo Release

● All campers must have a signed and completed waiver on file before they will be permitted to attend camp. Digital submissions are strongly encouraged and can be emailed to education@georgiaaquarium.org.
● Campers may turn in a paper copy the Monday of camp; campers without a waiver on file will not be permitted to attend camp until a completed and signed waiver is received.

Permission Form

I hereby give permission to my child or dependent to participate in all activities involved in the Camp H2O at Georgia Aquarium Program, expressly and specifically acknowledging that those activities may include, without limitation, water-related activities at the Georgia Aquarium and travel to and from the Georgia Aquarium. I understand and acknowledge that, in participating in such activities, my child or dependent, though always in the presence of an adult, may not be constantly monitored. I further understand and acknowledge the risk of physical injury or damage to property as a result of my child’s or dependent’s participation in the activities. 

I hereby give permission for my child to visit Centennial Olympic Park and Pemberton Place, which are located adjacent to Georgia Aquarium. My child will be escorted to and from all locations by Georgia Aquarium Staff. While outdoors and at other locations, my child will be properly supervised by the Education Department staff. I understand and acknowledge the risk of physical injury or damage to property as a result of my child’s or dependent’s involvement at Centennial Olympic Park and Pemberton Place.

I hereby authorize the Georgia Aquarium, or its designee(s), to take my child or dependent to a hospital or other medical facility in case of any emergency and to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care of my child or dependent deemed advisable by a licensed physician and provided by that physician or under that physician’s supervision, regardless of where that treatment is provided. 

Waiver and Release

In consideration of my child’s or dependent’s being allowed to participate in the activities at the Georgia Aquarium described above, I hereby release and discharge the Georgia Aquarium and its directors, officers, employees, agents, volunteers, and other representatives, from any and all liability, claims, losses, and demands whatsoever that my child or dependent or I may have for injuries or property damage arising or resulting from my child’s or dependent’s participation in the activities described above, whether or not resulting from negligence, all of which claims I hereby waive both for myself and for my child or dependent.

I acknowledge and agree that attendance and involvement in the activities described above are voluntary, that my child or dependent is participating at his or her own risk, and that I have read the terms and conditions of this waiver and release.

I understand and agree that this waiver and release shall be fully binding on me, my child or dependent, my estate, my child’s or dependent’s estate, my heirs, and my child’s or dependent’s heirs, and that neither I nor my child nor my dependent nor anyone claiming through me or my child or my dependent shall have any legal right to assert a claim against the Georgia Aquarium or its directors, officers, employees, agents, volunteers, or other representatives, relating to my child’s or dependent’s participation in such activities.

 


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First Campers Name

First Name*

Last Name*

Phone*
First Campers Age Acknowledgment*
First Campers Date of Birth*
I certify that I am 18 years of age or older
First Campers Health History

Please list any allergies (including food, nuts, asthma, penicillin, shellfish, etc.). If none, please write "N/A". *

Please list any dietary restrictions. If none, please write "N/A". *

Please list any other conditions - medical or behavioral (nosebleeds, migraines, sleepwalking, etc.).
First Campers Signature*
Parent (biological or adoptive) or Court Appointed Legal Guardian's Email Address

Email*

Confirm Email*
Emergency Contact Information:

Contact Name:

Relationship to Participant (camper):

Contact Phone:

Alternate Phone:

Name of Child or dependent:

Name of Parent or Guardian

Today's Date:
Camper Behavior Contract

Camp H2O is going to be an exciting and hands-on experience that will leave your camper with memories that last a lifetime! In order to ensure that each camper has a safe and positive experience, we want all of our camp families to understand that the physical and emotional safety of our campers and animals is paramount. To that end, please review this Camper Behavior Contract with your child(ren) or dependent(s). 

If a camper is in violation of the behavior contract, the camper may, at the discretion of staff, face consequences up to and including dismissal from camp with no partial or full refund. Bullying of any kind is inexcusable and grounds for immediate dismissal from camp. Georgia Aquarium will pursue the following in the event a camper violates the behavior contract: 

First Occurrence: The first occurrence will result in a call home or conversation during pick-up with Georgia Aquarium staff. In the case where kicking, biting, or other severe behavior occurs, the child may automatically be given one-day suspension from the program with no refund for that day. 

Second Occurrence: The second occurrence of severe behavior will result in a conversation with Georgia Aquarium staff and parents, potentially resulting in expulsion from camp without a refund. A member of the management staff of Education will make a final determination for expulsion. 

Campers and Parents: Must return the signed contract prior to your first day of camp. Signature is indicated by typing your full name in the form. 


1. Stay with your assigned camp instructor and always listen to instructions. 

  • I will stay with my assigned camp instructor(s) throughout the entire camp experience. 
  • I understand that for my safety, wandering throughout the aquarium is not permitted. 
  • I understand running is not permitted and will only do so with permission from camp instructor(s). 
  • I will always follow my camp instructor’s directions and ask questions if needed. 
  • I understand that my questions are valued and encouraged – if I don’t ask, I’ll never know.

2. Be on your best behavior. 

  • I will be respectful of my fellow campers, all program staff, and the animals with my words and actions. 
  • I will listen when others are speaking and speak to others in a respectful manner and tone. This includes using my “inside” voice inside of the aquarium. 
  • I will not threaten or cause physical harm to others, including but not limited to possessing sharp or otherwise dangerous instruments. 
  • I will respect the personal space of others and keep my body to myself. 
  • I understand that disrespectful behavior includes but is not limited to hitting, punching, kicking, biting, spitting, swearing, teasing, lying and not listening to my camp instructor. 
  • I understand that bullying – both physical and emotional - is inexcusable and is grounds for immediate dismissal from camp. 
  • I will be respectful of the aquarium grounds, buildings, and animal habitats. 
  • I will not litter, vandalize, steal, or destroy items that do not belong to me. 
  • I agree to follow all Camp H2O rules including those that are not listed on this behavior agreement. 

3. Respect the animals and their homes. 

  • I understand that tapping on the windows or yelling at the animals can be very disturbing and harmful to their health and will refrain from doing so. 
  • I will not feed the animals or put items into an exhibit. 
  • I will wait until I am instructed as to when and how I may touch the animals. 

4. Electronic use should be limited during the camp day. 

  • I understand that I am not to play on my phone, tablets, electronic toys, or other devices during the camp day. 
  • I will put away my cellphone or electronic device when requested by camp instructors or Georgia Aquarium personnel. 
  • I understand that I will not take pictures of other campers without their consent. 
  • I understand that I am not permitted to display inappropriate images, videos or sounds on my phone or electronic device(s).

5. Have Fun

  • I agree to HAVE FUN and help my fellow campers have fun! 


Agreement Statement: I have read the Camper Behavior Contract with my child and accept responsibility for his/her behavior during enrollment in camp. I understand that my child may be removed from an activity if this contract is violated. 

When a parent or guardian initially registers a child with an exempt program, the parent or guardian shall sign a form indicating the parent or guardian has been advised and understands that the program is not licensed and is not required to be licensed by the state. 


Camper Name

Parent or Guardian Name

Today's Date:
Authorization to Dispense External Preparations

Except for first aid, Georgia Aquarium personnel shall not hand out prescription or non- prescription medication (including sunscreen) to a child without specific written authorization from the child’s physician or parent. All medications shall be stored in accordance with the prescription or label instructions and kept in places that are inaccessible to children. Each dose of medication given to a child is required to be documented showing the child’s name, name of medication, date and time given, and the name of the person giving the medication. It is required that on-site First Aid be notified for any serious or life-threatening situations.


Camp Name:

Camp Week:

I hereby give Georgia Aquarium Staff permission to apply one or more of the following external preparations, in accordance with directions on the container: 

Band-Aids 

Neosporin or similar non-prescription ointment 

Bactine or similar first aid spray 

Prescription ointment  

Other


By typing my name in this form below, I state that I am the parent or legal guardian of the child named below and agree to all the terms of the release stated above.


Parent/Guardian Name

Today's Date
Photo Release

I hereby authorize Georgia Aquarium, Inc., to take photographs of my child during his/her camp experience. I grant permission to Georgia Aquarium and their respective representatives, worldwide right to use, publish, and display for all types of advertising and promotional materials. These images may be used in television, print campaigns, and the internet, with all photographic negatives and prints, transparencies, and digital representations owned by Georgia Aquarium, Inc. I agree that Georgia Aquarium is not required to submit to me any materials for approval prior to use. I hereby waive any right to inspect or approve those materials and waive the right for acknowledgement or compensation. The undersigned states that I have the power and authority to grant these rights. The publication and use of the undersigned’s name, photograph, or other use will not infringe upon the personal rights of any person. I have read this release and I understand its contents and intend to be legally bound to this release. 

By typing my name in this form below, I state that I am the parent or legal guardian of the child named below and agree to all the terms of the release stated above.


Child's (campers) Name

Camp Week

Parent/Guardian's Name

Today's Date

MEDICAL CONSENT AND ASSUMPTION OF RISK 1. Beginning on the first day of my or my child/ward’s presence and attendance at and/or participation in the Georgia Aquarium’s Camp H2O program and all associated activities and outings including, but not limited to, transportation to and from the Camp H2O(collectively, “Camp H2O”) and continuing from day to day throughout the time my child/ward is present at, attends, and/or participates in the Camp H2O, I hereby authorize any licensed physician, emergency medical technician, paramedics, nurses, hospital or other medical or health care facility or provider (“Medical Provider”) to provide medical care to my child/ward for any illness, injury, and/or condition that occurs, manifests or arises at the Camp H2O. I further authorize any such Medical Provider to perform all procedures or services deemed medically advisable to treat or relieve, or to attempt to treat or relieve, any illness, injury, and/or condition. 2. I authorize Georgia Aquarium, Inc, all subsidiaries, related and affiliated entities, including but not limited to, all their officers, directors, members, partners, shareholders, employees, agents, insurers, successors and assigns (“SEA”) to share medical information related to my child/ward with any Medical Provider providing medical care to my child/ward for any illness, injury, and/or condition that occurs, manifests or arises at the Camp H2O. 3. I execute this Medical Consent and Assumption of Risk (the “Consent”) with Georgia Aquarium, Inc. I understand and agree that this Consent shall be binding on me and my child/ward, as well as the representatives, executors, heirs, next of kin, administrators, beneficiaries, successors and assigns of my child/ward. 4. I acknowledge that there is a risk of complications and unforeseen consequences in any medical treatment and I, individually and as parent/natural guardian of my child/ward, a minor, sign this Agreement on behalf of my child/ward. I acknowledge that no warranty is being made as to the result of any medical treatment. I agree that any health history provided by me or my child/ward is correct to the best of my knowledge. 5. I acknowledge having knowledge and experience with the health and capabilities of my child/ward superior to Camp H2O staff. I certify that my child/ward is in good health and does not have any health or mental / physical impairments or conditions that would be aggravated by attendance or participation at the Camp H2O or that make such attendance or participation unsafe or otherwise inappropriate for my child/ward, the animals at the Camp H2O, or other guests. I further certify that my child/ward does not currently have upper respiratory disease or illness (including but not limited to asthma, colds, flu, etc.), is not on medication that suppresses immune function or has possible side effects that would interfere with the Camp H2O, and that my child/ward does not have open sores, open wounds, cuts, abrasions, skin irritations or other outward signs of illness. I represent and agree that I have the legal capacity and authority to act on behalf of myself and my child/ward. This release shall be binding upon me and/or the minor guest, and my or the minor guest’s heirs, executors, representatives, next of kin, beneficiaries, administrators, successors and assigns. I HAVE READ AND UNDERSTAND THE FOREGOING AND ACCEPT AND AGREE TO ITS TERMS.




In the State of Georgia, ONLY a Parent (biological or adoptive with legal custody of the minor child) or Legal Custodian (appointed by a court the duties of making decisions for the minor child) can sign this form on behalf of a minor child. By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent (biological or adoptive) or Court Appointed Legal Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent (biological or adoptive) or Court Appointed Legal Guardian's Age Acknowledgment*
Parent (biological or adoptive) or Court Appointed Legal Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent (biological or adoptive) or Court Appointed Legal Guardian's Health History

Please list any allergies (including food, nuts, asthma, penicillin, shellfish, etc.). If none, please write "N/A". *

Please list any dietary restrictions. If none, please write "N/A". *

Please list any other conditions - medical or behavioral (nosebleeds, migraines, sleepwalking, etc.).
Parent (biological or adoptive) or Court Appointed Legal Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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