Humane Society of the Tennessee Valley HEY! Camps

  • Please note, if you wish to sign up more than one child/dependent you must fill out a form for each child/dependent.
  • Child/Youth Information
  • Date Format: MM slash DD slash YYYY
  • If none, state none or N/A.
  • Parent/Guardian Information
  • Please list the phone number where a parent/guardian can be reached immediately during camp hours, 8:30 am-4:30pm.
  • I have notified my emergency contact that they must be available during camp hours to make decisions in my absence.
  • LIABILITY WAIVER/ALLERGY WAIVER/PHOTO RELEASE

    In consideration of the Humane Society of the Tennessee Valley Inc. (HSTV), accepting my child as an activity participant, I, the undersigned parent or guardian of (child), hereby agree to indemnify, defend and hold harmless the Humane Society of the Tennessee Valley Inc., its employees, volunteers, officers, agents, and directors from any and all damages, losses, or injuries my child may sustain during his/her activities at the Humane Society of the Tennessee Valley.

    I acknowledge that I have had the scope of the program fully explained to me, including the potential of injury which can occur during activities with dogs, puppies, cats, kittens, or other animals. I further understand that even with all due caution taken, accidents with animals can and do happen. This program release is executed without any reliance upon any representation by any person and the undersigned has carefully read and understands the contents of this release and executes the same as his or her own free act. I acknowledge and understand that my child is not covered by the HSTV's Workers Compensation or any other insurance policy for any damages or injuries my child may sustain during his/her activities at HSTV. In the event that any of the terms, conditions, and/or covenants contained in this release are held to be invalid, such invalidity shall not affect any of the other terms, conditions and/or covenants contained herein which shall remain in full force and effect.

    Camp is not recommended for children with allergies to pet dander or nuts. Camp is held on a campus that houses dogs and cats. Dogs are given peanut butter daily and many treats contain nut allergens. For these reasons and the safety, health and well-being of your child, we do not recommend that children with these allergies attend camps at the Humane Society of the Tennessee Valley.

    I, the undersigned parent or guardian of (child) hereby agree that any and all photographs and/or video images taken of my child and his/her pet (or shelter animal) may be used in perpetuity by the Humane Society of the Tennessee Valley Inc. for the purposes of publicity, education, fundraising, or otherwise promoting the mission and activities of the Society. I understand that neither I nor my child will receive name recognition or monetary compensation for the use of said photograph(s) and/or video footage, to be used either in print or other media of HSTV’s choosing and that this agreement will remain binding and have legal effect regardless of whether my or my child’s association with the Humane Society of the Tennessee Valley Inc. continues.

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