There Will Be a Late Fee of $15 for Payment After This Date

If you check “NO” give specific instructions on this page for the camp to follow if you or the person designated cannot be located. In case of serious accident or illness, we attempt to contact you in order to explain the situation and let you decide what is to be done. Occasionally we cannot locate the individuals listed on the form. This is the reason we ask for your permission to take your child to the hospital when it seems necessary. Children are transported to the hospital by the Mayfield Heights Fire Department Paramedics. The Paramedics cannot remain at the hospital nor bring the child back. This is your responsibility. If we cannot locate you to accompany your child, a counselor will accompany your child and the Paramedics to the hospital. Mayfield Heights Recreation does not provide insurance for campers. Each participant must provide his/her own insurance.

No refunds after May 19, 2023. If a child is withdrawn from camp before camp begins, $15 will be retained by the City of Mayfield Heights to cover administrative costs. Note: Permission is granted for my child, if registered, to take scheduled Field Trips with the camp under the supervision of the Mayfield Heights Recreation Department.

As a participant in this and any other program of the Mayfield Heights Parks and Recreation Department, I, for myself or the participant for whom I sign (if under 18 years of age), recognize and acknowledge that I/we may be exposed to a variety of risks and I/we agree to assume all such risks, including but not limited to, any damage resulting from physical injuries, death, loss of services or consortium, loss or damage to property, or any other loss or injury I/we may sustain as a result of participating in any and all activities connected or associated with such programs. I acknowledge that I/we have no physical limitations, or disabilities of any kind which would restrict me/us from participating. Any special accommodations needed have been noted or will brought to the attention of the Mayfield Heights Parks and Recreation Department In consideration of the Mayfield Heights Parks and Recreation Department accepting my/ our registration and with the intent to be legally bound, I hereby, for myself or the participant for whom I sign (if under 18 years of age) and all heirs, executors, administrators and assigns: (1) forever release, waive and relinquish any claim I/ we have or may have as a result of participating in this and all other programs of the City of Mayfield Heights Parks and Recreation Department; and (2) promise not to sue and agree to hold harmless and defend, the City of Mayfield Heights and its officers, officials, agents, employees, volunteers, independent contractors, and other representatives (referred to collectively hereinafter as “City of Mayfield Heights”) from any and all claims, liabilities, demands, actions or causes of action in any way resulting from my/our participation in this and all other programs of the Mayfield Heights Parks and Recreation Department.

Use of Photographs: I do hereby grant and give the City of Mayfield Heights the right to use my photograph or image (or the photograph or image of the participant for whom I am signing) with or without my/our names, both single and in conjunction with other persons or objects for any and all purposes including, but not limited to, private or public presentations, advertising, publicity and promotion relating hereto. I warrant that I have the right to authorize the foregoing uses and do hereby agree to hold the City of Mayfield Heights harmless of and from any and all liability of whatever nature, which may arise out of result of such uses.

Please read carefully, by signing you waive certain legal rights.