I hereby certify that my child is in reasonable health and is capable of safe participation in the program indicated above. I assume all risks and hazards incidental to the conduct of this program. I hereby authorize the Leadership Empowerment Center to obtain medical treatment for my child in the event that the parent and emergency contact cannot be reached. 2. I hereby release the Leadership Empowerment Center, its employees, its board, and contractors from any and all causes of action and or claims for any physical injuries, personal losses, or damage done to personal property while on the premises of either the Leadership Empowerment Center, or properties associated with specific programs of the organization. 3. I agree to indemnify and save harmless the Leadership Empowerment Center from any claims or demands arising out of any such injuries or losses. 4. I authorize the publication of any photography taken for or during this program for the use of promoting or advertising further programs, unless I notify of my desire to not permit any published photos at the time of registration. SIGN THE AGREEMENT/RELEASE BELOW BY TYPING YOUR FULL NAME BELOW.

2025 Summer Camp Registration

PAYMENT INFO