PARENTAL CONSENT (REQUIRED): [Please read carefully and indicate your acceptance by
confirming acceptance at the bottom of this section.]:
I hereby apply for registration for the herein named child for the Summer Camp(s)
indicated in this application. In consideration of acceptance of this application by the Aga Khan Museum and participation in
the Summer Camp(s), I hereby agree as follows on behalf of myself (where applicable) and my child:
a. To allow my child to participate in all Summer Camp activities.
b. That the Aga Khan Museum reserves the right to terminate the registration of my
child in the Summer Camp when it is deemed in the best interests of the child or the Aga Khan Museum.
c. To give the Aga Khan Museum officials authority to act on my behalf in case of
emergency and in the best interests of my child if I am not present at the time of the emergency.
d. That, in the event of an illness, injury or other emergency suffered by my child
during the Summer Camp, I understand and agree that the Aga Khan Museum will obtain the necessary medical attention for the child
participant, which may include administering medicines, basic First Aid, and transportation to the nearest hospital. I further
agree that no official or volunteer will be held responsible for injuries or damages arising from the provision of any such emergency
e. That my child will comply with the rules and policies of the Aga Khan Museum and the
Summer Camp instructors and failure to do so may result in termination of participation in the Summer Camp.
f. That my child is solely responsible for his/her personal effects and belongings,
including but not limited to money, clothing, and personal items brought to the Summer Camp(s).
g. To release, hold harmless and forever discharge the Aga Khan Museum and each
of their respective directors, officers, trustees, members, employees, volunteers and agents (collectively the “Releasees”)
from any and all liability, actions, causes of action, claims and demands resulting from any loss, injury or damage to person or
property that I or my child may suffer in connection with my child’s participation in the Summer Camp due to any cause whatsoever,
INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER
THE RELEVANT OCCUPIERS LIABILITY ACT OR ANY OTHER RELEVANT STATUTES, on the part of the Releasees.
h. TO NOT SUE THE RELEASEES or any of them for any loss, injury, costs or damages of
any form or type, howsoever caused or arising, and whether directly or indirectly from the participation of my child in the Summer
i. TO INDEMNIFY, and to SAVE and HOLD HARMLESS the RELEASEES, and each of them, from
any litigation expense, legal fees, liability, damage, award or cost, of any form or type whatsoever, they may incur due to any
claim made against them or any one of them whether the claim is based on the negligence or the gross negligence of the Releasees
j. That I have read this document and all the forms thoroughly and understand
I HAVE READ AND UNDERSTAND THIS AGREEMENT AND ALL ASSOCIATED PERMISSION FORMS. I AM
AWARE THAT I AM WAIVING CERTAIN SUBSTANTIAL LEGAL RIGHTS WHICH MY CHILD,
HIS/HER HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS AND I MAY HAVE AGAINST THE RELEASEES.
I CONFIRM ACCEPTANCE OF THE CONTENTS OF THIS DOCUMENT AND ALL PERMISSION FORMS VOLUNTARILY AND WITHOUT INDUCEMENT.
I CONFIRM THAT I AM THE PARENT/GUARDIAN HAVING FULL LEGAL RESPONSIBILITY FOR DECISIONS REGARDING
THE ABOVE CHILD.