Youth Programs: Releases & Forms


Parent/Guardian Releases and Notifications

PRIVACY NOTICE: As the person and/or parent/guardian of the student being registered, you consent to the internal, non-public disclosure of your address, telephone number and email addresses to faculty and staff of JMU and any official third parties we work with for the purposes of administering the program. This includes facilitating class communications. You provide this consent with the knowledge that JMU will not further disclose your contact information to anyone outside of JMU and official third parties without your consent.

MEDIA RELEASE: I (parent) do / do not (choose applicable choice at time of registration) hereby give JAMES MADISON UNIVERSITY, their assigns and legal representative the irrevocable right to use photograph or video images of my child in all forms and media for education or other lawful purposes in its publications and displays. I waive my right to preview or approve the finished product, including written copy that may be created in connection therewith. I understand no fee will be paid to me now or in the future. I have read this release and understand its contents.

TRANSPORTATION RELEASE: I give permission for my child to be transported to activities, riding in approved vehicles, or walking with staff to attend and participate in camp-sponsored activities on and off campus, should program require.

MEDICAL RELEASE: I also give permission to the leaders of this program to secure emergency medical or surgical treatment for my child if there is insufficient time to contact me, and to secure routine, non-surgical medical care as needed.

WAIVER OF LIABILITY: I agree to indemnify, release and hold harmless James Madison University, the State of Virginia, and their respective officers, agents, employees and volunteers from any and all costs, liabilities, expenses, claims, compensation, demands, or causes of action on account of any loss or damage to person or property of the aforementioned child arising out of or in connection with his/her participation in the aforementioned camp and related camp activities.

Student Code of Conduct (Parent/guardian to review with student)

I will treat fellow students, JMU faculty and staff with respect at all times, including: respectful listening, participation during hands-on activities, avoid distracting behavior and follow directions from JMU staff as necessary to ensure a safe and enjoyable experience by all. I understand that the University reserves the right to exclude my participation in this program if my participation or behavior is deemed detrimental to the safety or welfare of others. I understand that cell phones and electronic games are allowed for limited use as permitted during breaks. I understand that the consequences for breaking these rules may include; (1) a warning from the Instructor; (2) meeting with K-12 Engagement Coordinator and/or staff; (3) a phone call and/or meeting with the parent/guardian; (4) being asked to leave the program without a refund.

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