LightsCameraDiscover

Lights Camera Discover Registration

Program Type

Participant Information

Participant Name

Full Name

Participant Birth Date

Month

Day

Year

Participant Address

Address of participant registering for the LCD Program

Street Address

City

State

Zip Code

Program Category

Which program subject is the participant interested in learning?

Age of Participant

Which age range is the participant?

Parent/Guardian Information

Parent/Guardian Name

Full Name

Parent/Guardian Number

Phone Number

Parent/Guardian Address

Address of Parent/Guardian registering for the LCD Program

Address same as participants address

Street Address

City

State

Zip Code

LCD Rules & Policies

Code of Conduct

In the spirit of collaboration, participants are expected to maintain a good attitude and show respect for others, including their instructors at all times during camps.

If a Lights Camera Discover staff member deems that a participant has deliberately misused or damaged equipment or is otherwise uncooperative and disruptive to his or her fellow students, they can be asked to withdraw from the camp and potentially not be permitted to register for future programs.

If a participant is asked to leave the program due to inappropriate behavior or other circumstances deemed necessary by Lights Camera Discover, no refund will be given.

Release Of Liability

Photos, videos and student films of Lights Camera Discover’s activities are used for publicity and promotion to support Lights Camera Discover programming and Lights Camera Discover’s Sponsors.

Additionally, in consideration of my son or daughter being allowed to participate in the program, the undersigned hereby releases Lights Camera Discover, its employees and agents, from any action, claim or demand for personal injury or property loss arising from or due to any negligent act or omission of Lights Camera Discover, its agents or employees.

I have read and understand the above Lights Camera Discover Rules and Policies

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.