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PARENTAL/GUARDIAN CONSENT, RELEASE, WAIVER AND ASSUMPTION OF RISK SOUTH CAROLINA AQUARIUM TEEN SCIENCE CAFE


I, the undersigned parent or guardian of the child listed below, understand and agree to all the terms below as they pertain to the South Carolina Aquarium’s Teen Science Café program. 

  1. I grant permission for my child to participate in the South Carolina Aquarium’s Teen Science Café Program on the date listed above. I understand that participation may include engaging in hands-on tasks as part of the program. Participation is purely voluntary, and if at any time my child or I feel uncomfortable with the activities, we may notify the instructor that we do not wish to participate and accommodations will be made for us to either observe the activity or leave the program.
  2. I understand that a South Carolina Aquarium employee/volunteer will explain various safety rules before participating. I agree that we have a responsibility to listen, and if necessary, ask questions, clarify any rules, regulations or instructions that we do not understand. I acknowledge that by participating in the program that I have understood and agreed to comply with all safety rules and regulations.
  3.  I agree that we have a responsibility to conduct ourselves in a safe and reasonable manner, staying with the group at all times.
  4.  I understand that transportation to and from the South Carolina Aquarium is solely my responsibility as parent/guardian.
  5. I am aware that there are certain risks and dangers in any activity and in consideration of participating, I hereby agree to indemnify, defend and hold harmless the South Carolina Aquarium, its officers, agents, board members, employees and representatives (hereafter collectively referred to as “the released parties”) for any liabilities, claims, demands, or cause of action that arise from the negligence or strict liability of the released parties.
  6. I have conveyed my understanding and consent of the above guidelines to my child.
  7. I have read the program description and acknowledge that my child is between the ages of 6th grade to 12t

Photo Release: For valuable consideration, I do hereby authorize the South Carolina Aquarium, and those acting pursuant to its authority to:

  • Record my child’s participation and appearance on video tape, audio tape, film, photograph or any other medium.
  • Use my child’s name, likeness, voice and biographical material in connection with these recordings.
  • Exhibit or distribute such recording in whole or in part without restrictions or liability for any educational or promotional purpose which the South Carolina Aquarium, and those acting pursuant to its authority, deem appropriate.


I Agree
  

    

Emergency Situation: Should an emergency arise, I give my permission to the South Carolina Aquarium staff to render first aid and provide or obtain emergency medical services as the situation warrants, and release the staff from any liability resulting from any negligent performance of said services.

I Agree
       


AAt the program conclusion, If I decide to authorize the South Carolina Aquarium to release my child to drive themselves home with my permission or to be released to a different parent or guardian I will send an email to confirm this decision to the South Carolina Aquarium's staff. 

I Agree
  

______________________________________________________________________________________________

Adult/Guardian


I have read and do agree to the terms above.

Signature of Parent/Guardian:

                      Date: May 1, 2024

                     



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First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


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 or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or 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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