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The undersigned does hereby give permission for our (my) youth: (“Participant”) to attend and participate in this "Shredz Skateboard Camp" event facilitated by The Inside and Shredz Skateboard Shop. The "Shredz Camp Program Team" refers to all vetted and certified adult volunteers, staff, and coaches associated with The Inside, and Shredz Skateboard shop. This permission includes consent for our (my) youth to participate in programming, coaching, and training sessions associated with "Shredz Skateboard Camp" run and held by the "Shredz Camp Program Team."

LIABILITY RELEASE: In consideration of Shredz Camp Program Team allowing the Participant to participate in event and camp activities, we (I) the undersigned, do hereby release, forever discharge and agree to hold harmless all event volunteers and agents (collectively herein the "Shredz Camp Program Team") from any and all liability, claims or demands for 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 youth Participant while involved in the activities and program of the Shredz Skateboard Camp. We (I) the parent(s) or legal guardian(s) of this Participant hereby grant our (my) permission for the Participant to participate fully in Shredz Skateboard Camp activities.

Furthermore, we (I) and on behalf of our (my) minor youth Participant(s) hereby assume all risk of personal injury, sickness, death, damage, and expense as a result of participation in recreation and activities involved therein.

Further, authorization and permission is hereby given to the Shredz Camp Program Team to furnish any necessary transportation or food for this Participant. The undersigned further hereby agree to hold harmless and indemnify the Shredz Camp Program Team for any liability sustained by the Shredz Camp Program Team as the result of the negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto.

Further we (I) the parent(s) or legal guardian(s) of this Participant understand: that the Shredz Camp Program Team consists of individuals 18 years of age or older, who are deemed to have demonstrated a commitment to The Inside and the camps, programs, events, and other initiatives of The Inside.

MEDICAL TREATMENT PERMISSION: We (I) authorize the Shredz Camp Program Team to consent to any emergency x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care, to be rendered to the minor under the general or special supervision and in the advice and on the advice of any physician or dentist or the medical staff of a licensed hospital or emergency care facility. The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned youth pursuant to this authorization. 

EARLY RETURN HOME POLICY: Should it be necessary for our (my) youth to return home due to medical reasons, disciplinary action or otherwise, the undersigned shall assume all transportation costs and responsibility.


Date Signed: December 6, 2023

First Parent / Guardian Name

First Name*

Last Name*
First Parent / Guardian Age Acknowledgment*
First Parent / Guardian Date of Birth*
I certify that I am 18 years of age or older
First Parent / Guardian Signature*
Second Parent / Guardian Name

First Name*

Last Name*
Second Parent / Guardian Date of Birth*
Third Parent / Guardian Name

First Name*

Last Name*
Third Parent / Guardian Date of Birth*
Fourth Parent / Guardian Name

First Name*

Last Name*
Fourth Parent / Guardian Date of Birth*
Fifth Parent / Guardian Name

First Name*

Last Name*
Fifth Parent / Guardian Date of Birth*
Sixth Parent / Guardian Name

First Name*

Last Name*
Sixth Parent / Guardian Date of Birth*
Seventh Parent / Guardian Name

First Name*

Last Name*
Seventh Parent / Guardian Date of Birth*
Eighth Parent / Guardian Name

First Name*

Last Name*
Eighth Parent / Guardian Date of Birth*
Ninth Parent / Guardian Name

First Name*

Last Name*
Ninth Parent / Guardian Date of Birth*
Tenth Parent / Guardian Name

First Name*

Last Name*
Tenth Parent / Guardian Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

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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*

Last Name*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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